Organization
SOUTHWEST BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF JORDE (PRESIDENT / CEO)
(602) 285-4285
Entity
Organization
Contact information
Practice address
2042 N 35TH AVE, PHOENIX, AZ 85009-2353
(602) 272-5250
(602) 272-4199
Mailing address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(602) 257-9339
(602) 265-8574
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH-2104
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
726177
—
AZ
Enumeration date
08/02/2006
Last updated
08/22/2020
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