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Organization
SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC.
Active
Organization
SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF JORDE (PRESIDENT/CEO)
(602) 257-9339
Entity
Organization
Contact information
Practice address
7763 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-2289
(928) 717-1800
Mailing address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
BH-3898
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH-3898
ARIZONA DEPT OF HEALTH SERVICES, OBHL
AZ
Enumeration date
09/01/2011
Last updated
09/01/2011
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