| Jewish Family And Childrens Service | |
|
4220 N 20th Ave Phoenix AZ 85015-5101 | |
| (602) 279-7655 | |
| (602) 241-5756 |
| Full Name | Jewish Family And Childrens Service |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4220 N 20th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Thomas F Updike (PRESIDENT AND CEO) |
| Authorized Official Contact | 6022797655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family And Childrens Service 4220 N 20th Ave Phoenix AZ 85015-5101 Ph: (602) 279-7655 | Jewish Family And Childrens Service 4220 N 20th Ave Phoenix AZ 85015-5101 Ph: (602) 279-7655 |
| NPI Number | 1003977752 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003977752 | NPI | - | NPPES |
| 007494 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH982 (Arizona) | Primary |
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