# JEZZOB BEHAVIORAL HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 1730701517
- **Other names:** JEZZOB BEHAVIORAL HEALTH, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205504495
- **Legal business name:** 1730701517
- **Authorized official:** MR. ZEBEDEE T YONG GSP/ASHM (CEO/FACILITY OPERATIONS DIRECTOR)
- **Authorized official phone:** (602) 521-2351

## Contact information

- **Practice address:** 7409 W SOUTHGATE AVE, PHOENIX, AZ 85043-2058
- **Practice address phone:** (602) 521-2351
- **Practice address fax:** (480) 718-8860
- **Mailing address:** 7409 W SOUTHGATE AVE, PHOENIX, AZ 85043-2058
- **Mailing address phone:** (602) 521-2351
- **Mailing address fax:** (480) 718-8860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/01/2021
- **Last updated:** 09/01/2021