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NPI Code Detail

MEDICARE: JEWISH FAMILY & CHILDREN'S SERVICE

MEDICARE: JEWISH FAMILY & CHILDREN'S SERVICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801103841
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEWISH FAMILY & CHILDREN'S SERVICE
Provider Business Mailing Address
First Line : 4747 N 7TH ST STE 100
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-3654
Country : US
Telephone Number : 602-279-7655
Fax Number : 602-253-8891
Provider Business Practice Location Address
First Line : 1840 N 95TH AVE STE 160
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-4313
Country : US
Telephone Number : 623-234-9811
Fax Number : 623-234-9815
Authorized Official
Title or Position : PRESIDENT & CEO
Name : DR. LORRIE HENDERSON
Credential : PHD, MBA, LCSW
Telephone Number : 602-279-7655
Provider Enumeration Date : 09/13/2010
Last Update Date : 07/18/2024

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Directions to “JEWISH FAMILY & CHILDREN'S SERVICE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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