Organization
SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SHEETS (PRESIDENT/CEO)
(026) 351-6986
Entity
Organization
Contact information
Practice address
1845 MCCULLOCH BLVD N STE B1, LAKE HAVASU CITY, AZ 86403-6774
(928) 453-2661
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-3891
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH-3891
ARIZONA DEPT OF HEALTH SERVICES, OBHL
AZ
Enumeration date
09/26/2011
Last updated
08/15/2024
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