| Southwest Behavioral Health Services, Inc. | |
|
1845 Mcculloch Blvd N Ste B1 Lake Havasu City AZ 86403-6774 | |
| (928) 453-2661 | |
| Not Available |
| Full Name | Southwest Behavioral Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1845 Mcculloch Blvd N Ste B1, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Steven Sheets (PRESIDENT/CEO) |
| Authorized Official Contact | 0263516986 |
| 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. 1845 Mcculloch Blvd N Ste B1 Lake Havasu City AZ 86403-6774 Ph: (928) 453-2661 |
| NPI Number | 1407139413 |
|---|---|
| Provider Enumeration Date | 09/26/2011 |
| Last Update Date | 08/15/2024 |
| Certification Date | 08/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407139413 | NPI | - | NPPES |
| BH-3891 | Other | AZ | ARIZONA DEPT OF HEALTH SERVICES, OBHL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | BH-3891 (Arizona) | Primary |
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