| Arizona's Children Association | |
|
1407 Mcculloch Blvd N Lake Havasu City AZ 86403-6513 | |
| (928) 680-4458 | |
| (928) 680-4410 |
| Full Name | Arizona's Children Association |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1407 Mcculloch Blvd N, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Jacob Schmitt (PRESIDENT & CEO) |
| Authorized Official Contact | 6022343733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona's Children Association 3716 E Columbia St Tucson AZ 85714-3414 Ph: (602) 234-3733 | Arizona's Children Association 1407 Mcculloch Blvd N Lake Havasu City AZ 86403-6513 Ph: (928) 680-4458 |
| NPI Number | 1962730309 |
|---|---|
| Provider Enumeration Date | 11/23/2009 |
| Last Update Date | 10/06/2022 |
| Certification Date | 10/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962730309 | NPI | - | NPPES |
| 479802 | Other | AZ | AHCCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | OTC8671 (Arizona) | Primary |
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