| Catholic Charities Community Services, Inc | |
|
434 W Gurley Street Prescott AZ 86301 | |
| (928) 778-2531 | |
| (928) 771-9531 |
| Full Name | Catholic Charities Community Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 434 W Gurley Street, Prescott, Arizona |
| Authorized Official Name and Position | John Lang (RESOURCE SUPPORT SPECIALIST) |
| Authorized Official Contact | 9288647371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Community Services, Inc 5151 N 19th Ave Phoenix AZ 85015-3224 Ph: (480) 250-9157 | Catholic Charities Community Services, Inc 434 W Gurley Street Prescott AZ 86301 Ph: (928) 778-2531 |
| NPI Number | 1053490052 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 07/14/2023 |
| Certification Date | 07/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053490052 | NPI | - | NPPES |
| 442265 | Other | AZ | AHCCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH316 (Arizona) | Secondary |
| 251S00000X | Community/behavioral Health | OTC5874 (Arizona) | Primary |
News Archive
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