| Southwest Behavioral Health | |
|
206 N 4th St Buckeye AZ 85326-2404 | |
| (623) 882-9906 | |
| (623) 882-9908 |
| Full Name | Southwest Behavioral Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 206 N 4th St, Buckeye, Arizona |
| Authorized Official Name and Position | Jeff Jorde (PRESIDENT / CEO) |
| Authorized Official Contact | 6022854285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Behavioral Health 3450 N 3rd St Phoenix AZ 85012-2331 Ph: (602) 257-9339 | Southwest Behavioral Health 206 N 4th St Buckeye AZ 85326-2404 Ph: (623) 882-9906 |
| NPI Number | 1588679948 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588679948 | NPI | - | NPPES |
| 896540 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | BH-2475 (Arizona) | Primary |
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