SOUTHWEST BEHAVIORAL HEALTH SERVICES INC.


Address: 401 Emery Dr, Bullhead City, AZ 86442-5359
Phone: 6022854330

SOUTHWEST BEHAVIORAL HEALTH SERVICES INC. (NPI# 1932501665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932501665
Entity Type Organization
Organization Name SOUTHWEST BEHAVIORAL HEALTH SERVICES INC.
Other Organization Name MARINA POINTE
Practice Address 401 Emery Dr
Bullhead City
AZ 86442-5359
Mailing Address 3450 N 3rd St
Phoenix
AZ 85012-2331
Practice Telephone 6022854330
Practice Fax Number 6022658533
Mailing Telephone 6022579339
Mailing Fax Number 6022658533
Enumeration Date 2014-09-25
Last Update Date 2014-10-28
Authorized Official Name MRS. EVA A HERNANDEZ (CREDENTIALING AND LICENSING MANAGER)
Authorized Official Telephone 6022854330
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 323P00000X Psychiatric Residential Treatment Facility BH4510 AZ Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ AZ AHDS LICENSE BH4510 01

Other Provider/Organization Names

Other Name Type Code
Marina Pointe Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1659760213 Southwest Behavioral Health Services Inc. Clinic/Center 302 W Aero Dr, Payson, AZ 85541-5403 2015-01-20
1538554985 Southwest Behavioral Health Services Inc. Community/Behavioral Health 777 E Galveston St, Chandler, AZ 85225-8273 2015-04-02

Office Location

Street Address 401 EMERY DR
City BULLHEAD CITY
State AZ
Zip Code 86442-5359

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Taxonomy Information

Taxonomy Code 323P00000X
Grouping Residential Treatment Facilities
Classification Psychiatric Residential Treatment Facility

Taxonomy Definition

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03

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Competitor

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City BULLHEAD CITY
Zip Code 86442

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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