| Empact - Suicide Prevention Center | |
|
2923 N 33rd Ave Phoenix AZ 85017-5201 | |
| (602) 393-3840 | |
| Not Available |
| Full Name | Empact - Suicide Prevention Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2923 N 33rd Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Laura Larson-huffaker (EXECUTIVE DIRECTOR) |
| 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 2923 N 33rd Ave Phoenix AZ 85017-5201 Ph: (602) 393-3840 |
| NPI Number | 1538584149 |
|---|---|
| Provider Enumeration Date | 02/19/2014 |
| Last Update Date | 06/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538584149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | OTC6353 (Arizona) | Primary |
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