NPI 1124275953

Southwest Network

Organisation Community/Behavioral Health Agency Peoria, AZ

Practice location

Address: 9051 W Kelton Ln Suite 13, Peoria, AZ 85382-3533
Phone: (623) 815-5700
Fax: (623) 815-5759
Mailing address: 2700 N Central Ave Suite 1050, Phoenix, AZ 85004-1133

Authorised official

Name: Amy B. Henning
Title: Chief Executive Officer
Phone: (602) 285-4340

Registered specialties (2)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence OTC6188 (AZ)

Other Community/Behavioral Health providers in Arizona →

Case Management Agency

Agencies Taxonomy 251B00000X Licence OTC6188 (AZ)

Other Case Management providers in Arizona →

Registry record

NPI: 1124275953
Entity type: Organization
NPI issued: 22 Aug 2008
Record last updated: 3 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.