Organization
SOUTHWEST BEHAVIORAL HEALTH SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF JORDE (PRESIDENT/CEO)
(602) 285-8338
Entity
Organization
Contact information
Practice address
1700 N 7TH AVE, 250, PHOENIX, AZ 85007-1702
(602) 233-0115
(602) 269-1872
Mailing address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(602) 285-8338
(602) 268-8574
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH-2103
LICENSE NUMBER
AZ
Enumeration date
04/25/2008
Last updated
05/20/2008
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