Provider Demographics
NPI:1578071809
Name:SOUTHWEST BEHAVIORAL HEALTH SERVICES,INC.
Entity Type:Organization
Organization Name:SOUTHWEST BEHAVIORAL HEALTH SERVICES,INC.
Other - Org Name:RECOVERY TRANSITION PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSING & CREDENTIALING SPECIALIS
Authorized Official - Prefix:
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-285-4238
Mailing Address - Street 1:3450 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2331
Mailing Address - Country:US
Mailing Address - Phone:602-285-4318
Mailing Address - Fax:
Practice Address - Street 1:2042 N 35TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85009-2353
Practice Address - Country:US
Practice Address - Phone:602-272-5250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit