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Organization
CHILD CRISIS ARIZONA
Active
Organization
CHILD CRISIS ARIZONA
Active
Other names
Child Crisis Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICK SILAJ (SENIOR ACCOUNTANT)
(480) 304-4320
Entity
Organization
Contact information
Practice address
170 W UNIVERSITY DR, MESA, AZ 85201-5836
(480) 834-9424
Mailing address
817 NORTH COUNTRY CLUB DRIVE, MESA, AZ 85201
(480) 834-9424
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
CSLG 7172
AZ
Other
Enumeration date
08/06/2015
Last updated
09/12/2019
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