| Empact - Suicide Prevention Center | |
|
1035 E Jefferson St Phoenix AZ 85034-2295 | |
| (480) 784-1514 | |
| Not Available |
| Full Name | Empact - Suicide Prevention Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1035 E Jefferson St, Phoenix, Arizona |
| Authorized Official Name and Position | Jennifer Houde (CREDENTIALING) |
| Authorized Official Contact | 9286425583 |
| 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 1035 E Jefferson St Phoenix AZ 85034-2295 Ph: (480) 784-1514 |
| NPI Number | 1083531370 |
|---|---|
| Provider Enumeration Date | 06/30/2026 |
| Last Update Date | 06/30/2026 |
| Certification Date | 06/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083531370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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