| Southwest Behavioral Health Services, Inc. | |
|
2559 E 7th Ave Flagstaff AZ 86004-3722 | |
| (928) 779-4550 | |
| Not Available |
| Full Name | Southwest Behavioral Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2559 E 7th Ave, Flagstaff, Arizona |
| Authorized Official Name and Position | Jeff Jorde (PRESIDENT/CEO) |
| Authorized Official Contact | 6022579339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Behavioral Health Services, Inc. 3450 N 3rd St Phoenix AZ 85012-2331 Ph: () - | Southwest Behavioral Health Services, Inc. 2559 E 7th Ave Flagstaff AZ 86004-3722 Ph: (928) 779-4550 |
| NPI Number | 1700164019 |
|---|---|
| Provider Enumeration Date | 08/03/2011 |
| Last Update Date | 08/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700164019 | NPI | - | NPPES |
| BH-3901 | Other | AZ | ARIZONA DEPT OF HEALTH SERVICES, OBHL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | BH-3901 (Arizona) | Primary |
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