Southwest Behavioral Health in Phoenix - Community Based Residential Treatment Facility, Mental Illness
Southwest Behavioral Health - NPI 1376550343
Southwest Behavioral Health is a Community Based Residential Treatment Facility, Mental Illness in Phoenix, Arizona. Southwest Behavioral Health practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Southwest Behavioral Health is 1376550343. The last update date is 2020-08-22.
Southwest Behavioral Health's current location address is 2042 N 35th Ave, Phoenix, Arizona. You can contact this provider via phone number 6022725250 and fax number 6022724199. The mailing address for Southwest Behavioral Health is 2042 N 35th Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southwest Behavioral Health |
|---|---|
| Address | 2042 N 35th Ave, Phoenix, Arizona |
| Phone Number | 6022725250 |
| Fax Number | 6022724199 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jorde Jeff |
| Telephone Number | 6022854285 |
NPI Number Detail
| NPI Number | 1376550343 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2042 N 35th Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850092353 |
| Phone Number | 6022725250 |
| Fax Number | 6022724199 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | BH-2104 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 726177 | AZ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Southwest Behavioral Health by the Centers for Medicare & Medicaid Services?
The Southwest Behavioral Health has been issued the NPI (National Provider Identifier) 1376550343. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Southwest Behavioral Health's physical address?
The Southwest Behavioral Health is physically located at 2042 N 35Th Ave, in the city of Phoenix, AZ, with the postal code 850092353.
What is the Southwest Behavioral Health's specialty and taxonomy code?
The Southwest Behavioral Health's specialty is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code is 320800000X.
On what date did the Southwest Behavioral Health receive the assignment of its 1376550343 from the Centers for Medicare & Medicaid Services?
The Southwest Behavioral Health was issued its 1376550343 by the Centers for Medicare & Medicaid Services on 2006-08-02.
As of what date was the information pertaining to Southwest Behavioral Health, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Southwest Behavioral Health, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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