Provider Demographics
NPI:1083828842
Name:SOUTHWEST BEHAVIORAL CARE, INC.
Entity Type:Organization
Organization Name:SOUTHWEST BEHAVIORAL CARE, INC.
Other - Org Name:SPHS BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LSW
Authorized Official - Phone:724-489-0215
Mailing Address - Street 1:203 S MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-3216
Mailing Address - Country:US
Mailing Address - Phone:724-834-0420
Mailing Address - Fax:724-853-7613
Practice Address - Street 1:203 S MAPLE AVE
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-3216
Practice Address - Country:US
Practice Address - Phone:724-832-5880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA652404251S00000X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA652404OtherLICENSE
PA1007401140060Medicaid