| Empact-suicide Prevention Center | |
|
618 S. Madison Drive Tempe AZ 85281-7248 | |
| (480) 784-1514 | |
| (480) 967-3528 |
| Full Name | Empact-suicide Prevention Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 618 S. Madison Drive, Tempe, Arizona |
| Authorized Official Name and Position | Liz Montano (CREDENTIALING COORDINATOR) |
| 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 Drive Tempe AZ 85281-7248 Ph: (480) 784-1514 | Empact-suicide Prevention Center 618 S. Madison Drive Tempe AZ 85281-7248 Ph: (480) 784-1514 |
| NPI Number | 1609071646 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 02/23/2021 |
| Certification Date | 02/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609071646 | NPI | - | NPPES |
| 971673 | Medicaid | AZ |
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