Healthcare Provider Details
I. General information
NPI: 1740599018
Provider Name (Legal Business Name): CHILD & FAMILY RESOURCES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/04/2010
Last Update Date: 02/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2830 W GLENDALE AVE SUITE28
PHOENIX AZ
85051-8400
US
IV. Provider business mailing address
2800 E BROADWAY BLVD
TUCSON AZ
85716-5310
US
V. Phone/Fax
- Phone: 602-234-3941
- Fax: 602-274-2336
- Phone: 520-881-8940
- Fax: 520-325-8780
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251P0200X |
| Taxonomy | Pediatric Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ERIC
SCHINDLER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: PH. D.
Phone: 520-881-8940