| Empact - Suicide Prevention Center | |
|
21476 N John Wayne Pkwy Ste C101 Maricopa AZ 85139-8984 | |
| (480) 784-1514 | |
| Not Available |
| Full Name | Empact - Suicide Prevention Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 21476 N John Wayne Pkwy Ste C101, Maricopa, Arizona |
| Authorized Official Name and Position | Sharon Kay Casagrande (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 4807841514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empact - Suicide Prevention Center 618 S Madison Dr Tempe AZ 85281-7248 Ph: (480) 784-1514 | Empact - Suicide Prevention Center 21476 N John Wayne Pkwy Ste C101 Maricopa AZ 85139-8984 Ph: (480) 784-1514 |
| NPI Number | 1548901093 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 04/06/2022 |
| Certification Date | 03/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548901093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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