| Southwest Behavioral Health Services, Inc. | |
|
2215 Hualapai Mountain Rd Suites E, H & I Kingman AZ 86401-8324 | |
| (928) 753-9387 | |
| Not Available |
| Full Name | Southwest Behavioral Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2215 Hualapai Mountain Rd Suites E, H & I, Kingman, Arizona |
| Authorized Official Name and Position | Steven Sheets (PRESIDENT/CEO) |
| Authorized Official Contact | 0263516904 |
| 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. 2215 Hualapai Mountain Rd Suites E, H & I Kingman AZ 86401-8324 Ph: (928) 753-9387 |
| NPI Number | 1851610117 |
|---|---|
| Provider Enumeration Date | 05/26/2010 |
| Last Update Date | 09/01/2023 |
| Certification Date | 06/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851610117 | NPI | - | NPPES |
| BH-3583 | Other | AZ | ARIZONA DEPT OF HEALTH SERVICES, OBHL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | BH-3583 (Arizona) | Primary |
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