Jezzob Behavioral Health, Llc

LBN: Jezzob Behavioral Health, Llc
Jezzob Behavioral Health, Llc is an health care organization with primary practice located at 7409 W Southgate Ave , Phoenix AZ 85043-2058. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Jezzob Behavioral Health, Llc can be contacted via phone (602) 521-2351, or through Yong, Zebedee T via phone (602) 521-2351.

Contact Information

Primary practice address
7409 W Southgate Ave Phoenix AZ 85043-2058
Phone: (602) 521-2351
Fax: (480) 718-8860
Website:
Map and Directions
Authorized official contact:
Name: Yong, Zebedee T GSP/ASHM
Phone: (602) 521-2351

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X

Profile Details

NPI number 1205504495
LBN Legal business name Jezzob Behavioral Health, Llc
DBA Doing business as
Authorized official Yong, Zebedee T GSP/ASHM
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 1st, 2021
Last updated Sep 1st, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205504495 NPPES
Arizona MEDICAID 1981

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