Black Family And Child Services Inc | |
11120 W Van Buren St Apt 2117 Avondale AZ 85323-7304 | |
(602) 243-1773 | |
(602) 276-1984 |
Full Name | Black Family And Child Services Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 11120 W Van Buren St Apt 2117, Avondale, Arizona |
Authorized Official Name and Position | Mary M Black (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6022431773 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Black Family And Child Services Inc 1522 E Southern Ave Phoenix AZ 85040-3543 Ph: (602) 243-1773 | Black Family And Child Services Inc 11120 W Van Buren St Apt 2117 Avondale AZ 85323-7304 Ph: (602) 243-1773 |
NPI Number | 1821499104 |
---|---|
Provider Enumeration Date | 09/05/2014 |
Last Update Date | 09/05/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821499104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 4868156 (Arizona) | Primary |
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