Organization · NPI-2

Southwest Behavioral Health Service

Clinic/Center, Mental Health (Including Community Mental Health Center) · Buckeye, AZ

NPI number1104030980
StatusActive
Last updated in NPPESNov 9, 2023

Details

NPI
1104030980
Entity type
Organization (NPI-2)
Legal business name
Southwest Behavioral Health Service
Organization subpart
No
Enumeration date
May 10, 2007
Certification date
Nov 9, 2023
Last updated
Nov 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)BH-2875AZYes

Practice location

26428 West Hwy 85
Buckeye, AZ 85326

Phone 602-257-9339 · Fax 602-265-8574

Mailing address

3450 N 3rd St
Phoenix, AZ 85012

Phone 602-257-9339 · Fax 602-265-8574

Authorized official

Steven Sheets
President-Ceo
0263516986

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