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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 : 1881680254
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 : 880 N COLORADO ST
Second Line :
City : GILBERT
State : AZ
Zip : 85233-3419
Country : US
Telephone Number : 480-820-0825
Fax Number : 480-820-7863
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : DR. LORRIE HENDERSON
Credential : PHD, MBA, LCSW
Telephone Number : 602-279-7655
Provider Enumeration Date : 09/21/2005
Last Update Date : 07/18/2024

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

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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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