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Organization
JEWISH FAMILY AND CHILDREN'S SERVICE OF SOUTHERN ARIZONA, INC
Active
Organization
JEWISH FAMILY AND CHILDREN'S SERVICE OF SOUTHERN ARIZONA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS HERNANDEZ (CEO)
(520) 795-0300
Entity
Organization
Contact information
Practice address
4301 EAST 5TH STREET, TUCSON, AZ 85711-2005
(520) 795-0300
(520) 795-8206
Mailing address
4301 EAST 5TH STREET, TUCSON, AZ 85711-2005
(520) 795-0300
(520) 795-8206
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
BH1600
AZ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
BH213
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116865
—
AZ
Enumeration date
12/12/2006
Last updated
12/06/2022
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