| Child & Family Support Service, Inc | |
|
8652 E Eastridge Rd Suite 103 Prescott Valley AZ 86314-9462 | |
| (928) 775-2500 | |
| (928) 775-2800 |
| Full Name | Child & Family Support Service, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8652 E Eastridge Rd, Prescott Valley, Arizona |
| Authorized Official Name and Position | Emily Luechtefeld (SENIOR DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6024000984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child & Family Support Service, Inc 10439 S 51 St. Suite 100 Phoenix AZ 85044-5210 Ph: (480) 635-9944 | Child & Family Support Service, Inc 8652 E Eastridge Rd Suite 103 Prescott Valley AZ 86314-9462 Ph: (928) 775-2500 |
| NPI Number | 1730319450 |
|---|---|
| Provider Enumeration Date | 07/15/2009 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730319450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH3377 (Arizona) | Primary |
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