Organization Name: | SOUTHWEST BEHAVIORAL HEALTH SERVICES,INC. |
NPI Number: | 1093942161 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFF JORDE (PRESIDENT/CEO) |
Mailing Address: | 2580 Highway 95 Suite 120 & 121 Bullhead City |
State: | AZ US |
Postal Code: | 864427491 |
Phone Number: | 9287637776 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2009 |
NPI Last Update Date: | 06/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | BH-3364 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |