Florence Crittenton Services of Arizona, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

BH-2133 Issued in AZ

Legal business name

FLORENCE CRITTENTON SERVICES OF ARIZONA, INC.

Doing business as

FCS Therapeutic Group Home

Practice address

715 W Mariposa St
Phoenix, AZ 85013-2449

Phone

(602) 274-7318

Fax

(602) 274-7549

NPI assigned

Feb 25, 2008

Last updated

Jul 16, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

FLORENCE CRITTENTON SERVICES OF ARIZONA, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andres Contreras

Title

Ceo

Phone

(602) 257-0700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FCS Therapeutic Group Home Doing business as

Tax ID family

Florence Crittenton Services of Arizona Inc2 organizations share this tax ID, including this one

Part of

Florence Crittenton Services of Arizona Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Florence Crittenton Services of Arizona, Inc.

  dba FCS Community Based Services

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1154358422
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1326217308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W MARIPOSA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132449",
            "telephone_number": "602-274-7318",
            "fax_number": "602-274-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W MARIPOSA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132449",
            "telephone_number": "602-274-7318",
            "fax_number": "602-274-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE CRITTENTON SERVICES OF ARIZONA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORENCE CRITTENTON SERVICES OF ARIZONA, INC.",
        "enumeration_date": "2008-02-25",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-257-0700"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH-2133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "747058",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FCS Therapeutic Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kehart Lynn Flom Racoma
• Emmet J. Flood, DPT
• Timothy John Flood, M.D.
• Tyler M Florek
• Florence Crittenton Services of Arizona, Inc. (FCS Community Based Services)
• Florence Wellness PLLC
• Bradley G Florence, DO
• Mark F Florentine, M.S CCC-SLP
• Bernard M Florento, DDS
• Martha Delia Flores Griffith, PA

• Emotionally Disturbed Childrens' Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.