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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
MR. JEFF JORDE (PRESIDENT/CEO)
(602) 285-4285
Entity
Organization
Contact information
Practice address
1545 W BROADWAY AVE, SUITE 1 & 2, APACHE JUNCTION, AZ 85220-7658
(480) 671-3032
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-3172
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
404093
AHCCCS PROVIDER ID
AZ
Enumeration date
02/10/2009
Last updated
02/26/2009
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