| Catholic Charities Community Services | |
|
519 Hall Street Kingman AZ 86401-6270 | |
| (928) 718-1117 | |
| (928) 718-1124 |
| Full Name | Catholic Charities Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 519 Hall Street, Kingman, Arizona |
| Authorized Official Name and Position | Kristen J Schmidt (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 6022851999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Community Services 4747 N 7th Avenue Phoenix AZ 85013-2401 Ph: (602) 285-1999 | Catholic Charities Community Services 519 Hall Street Kingman AZ 86401-6270 Ph: (928) 718-1117 |
| NPI Number | 1114006129 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114006129 | NPI | - | NPPES |
| 110800 | Other | AZ | STATE OF ARIZONA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH2608 (Arizona) | Primary |
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