Organization
JEZZOB BEHAVIORAL HEALTH, LLC
Active
Parent organization
1730701517
Other names
JEZZOB BEHAVIORAL HEALTH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
1730701517
Authorized official
MR. ZEBEDEE T YONG GSP/ASHM (CEO/FACILITY OPERATIONS DIRECTOR)
(602) 521-2351
Entity
Organization
Contact information
Practice address
7409 W SOUTHGATE AVE, PHOENIX, AZ 85043-2058
(602) 521-2351
(480) 718-8860
Mailing address
7409 W SOUTHGATE AVE, PHOENIX, AZ 85043-2058
(602) 521-2351
(480) 718-8860
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1981
—
AZ
Enumeration date
09/01/2021
Last updated
09/01/2021
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