Organization
SOUTHWEST BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF JORDE (CEO)
(602) 265-8338
Entity
Organization
Contact information
Practice address
404 W AERO DR, PAYSON, AZ 85541-5407
(928) 474-3303
Mailing address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(602) 265-8338
(602) 265-8574
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LPC-0037
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC-0037
STATE
AZ
Enumeration date
08/18/2008
Last updated
08/18/2008
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