Child & Family Resources, Inc.
Organization Active NPI Community/Behavioral Health Agency · Douglas, AZ
NPI 1295907608 · NPPES record last updated Mar 25, 2008
Key facts
- NPI
- 1295907608
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- BH-2689 (AZ)
- Legal business name
- CHILD & FAMILY RESOURCES, INC.
- Practice address
- 855 Cochise Ave
Douglas, AZ 85607-3440 - Phone
- (520) 364-5150
- Fax
- (520) 364-5703
- NPI assigned
- Mar 25, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Jeffrey Dozoretz, PH.D.
- Title
- Regional Director
- Phone
- (520) 320-4039
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- Child Family Resources Inc
Locations
855 Cochise Ave
Douglas, AZ 85607
Phone (520) 364-5150
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | BH-2689 | AZ | Yes |
Addresses
Primary practice location
855 Cochise Ave
Douglas, AZ 85607-3440
Mailing address
2800 E Broadway Blvd
Tucson, AZ 85716-5310
Phone (520) 320-4039
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 909880 | Other | AZ | AHCCCS |
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All providers in Douglas, AZ · Community/Behavioral Health Agency in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.