Southwest Behavioral Health Services | |
11221 N 28th Dr Bldg E Phoenix AZ 85029-5615 | |
(602) 997-2233 | |
(602) 997-2667 |
Full Name | Southwest Behavioral Health Services |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 11221 N 28th Dr Bldg E, Phoenix, Arizona |
Authorized Official Name and Position | Steven Sheets (CEO) |
Authorized Official Contact | 6023516986 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southwest Behavioral Health Services 3450 N 3rd St Phoenix AZ 85012-2331 Ph: (602) 257-9339 | Southwest Behavioral Health Services 11221 N 28th Dr Bldg E Phoenix AZ 85029-5615 Ph: (602) 997-2233 |
NPI Number | 1225043755 |
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Provider Enumeration Date | 07/31/2006 |
Last Update Date | 06/01/2023 |
Certification Date | 06/01/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225043755 | NPI | - | NPPES |
BH-1987 | Other | AZ | SITE LICENSE |
649634 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | BH-1987 (Arizona) | Primary |
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