| Arizona Youth & Family Services, Inc. | |
|
3707 North 7th Street Suite 200 Phoenix AZ 85014 | |
| (602) 277-4833 | |
| (602) 277-4820 |
| Full Name | Arizona Youth & Family Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3707 North 7th Street, Phoenix, Arizona |
| Authorized Official Name and Position | Mark Anthony Nixon (CEO) |
| Authorized Official Contact | 6022774833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Youth & Family Services, Inc. 3707 North 7th Street Suite 200 Phoenix AZ 85014 Ph: (602) 277-4833 | Arizona Youth & Family Services, Inc. 3707 North 7th Street Suite 200 Phoenix AZ 85014 Ph: (602) 277-4833 |
| NPI Number | 1124187141 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 10/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124187141 | NPI | - | NPPES |
| 942476 | Other | AZ | AHCCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH2580 (Arizona) | Secondary |
| 251S00000X | Community/behavioral Health | 3547 (Arizona) | Primary |
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