Animals Facilitating Adolescents and Children Therapeutically, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

BH-4395 Issued in AZ

Legal business name

ANIMALS FACILITATING ADOLESCENTS AND CHILDREN THERAPEUTICALLY, INC.

Practice address

39213 S Wild Hardt Way Ste a
Marana, AZ 85658-8396

Phone

(520) 400-9444

Fax

(520) 879-6180

NPI assigned

Feb 28, 2014

Organization subpart

No

Name

Ms. Dori Suzan Tamagni, LCSW, LISAC

Title

Owner/Manager

Phone

(520) 400-9444

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2014.

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1992120885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39213 S WILD HARDT WAY STE A",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856588396",
            "telephone_number": "520-400-9444",
            "fax_number": "520-879-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39213 S WILD HARDT WAY STE A",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856588396",
            "telephone_number": "520-400-9444",
            "fax_number": "520-879-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIMALS FACILITATING ADOLESCENTS AND CHILDREN THERAPEUTICALLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "TAMAGNI",
        "authorized_official_first_name": "DORI",
        "authorized_official_middle_name": "SUZAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "520-400-9444",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LISAC"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH-4395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.