| Catholic Charities Community Services | |
|
2101 N 4th St Flagstaff AZ 86004-4200 | |
| (928) 774-9125 | |
| (928) 774-0697 |
| Full Name | Catholic Charities Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2101 N 4th St, Flagstaff, Arizona |
| Authorized Official Name and Position | Brigid Wagner (PROGRAMS DIRECTOR) |
| Authorized Official Contact | 9286073527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Community Services 2101 N 4th St Flagstaff AZ 86004-4200 Ph: () - | Catholic Charities Community Services 2101 N 4th St Flagstaff AZ 86004-4200 Ph: (928) 774-9125 |
| NPI Number | 1497834493 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 01/27/2025 |
| Certification Date | 01/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497834493 | NPI | - | NPPES |
| 116765 | Other | AZ | AHCCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-3226 (Arizona) | Primary |
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