# ARIZONA BAPTIST CHILDREN'S SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407957467
- **Authorized official:** MR. DON E. MCDANIEL JR. (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (602) 346-2319

## Contact information

- **Practice address:** 1717 W NORTHERN AVE, PHOENIX, AZ 85021-5469
- **Practice address phone:** (602) 346-2300
- **Practice address fax:** (602) 346-2399
- **Mailing address:** PO BOX 35637, PHOENIX, AZ 85069-5637
- **Mailing address phone:** (602) 346-2300
- **Mailing address fax:** (602) 346-2399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH1340 | AZ | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH2681 | AZ | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH2784 | AZ | — |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 011411 | AHCCCS PROVIDER ID NO. | AZ |
| 01 | — | 044678 | AHCCCS PROVIDER ID NO | AZ |
| 01 | — | 1020005 | ADHS PROVIDER ID NO. | AZ |
| 01 | — | 1020010 | ADHS PROVIDER ID NO. | AZ |
| 01 | — | 1020012 | ADHS PROVIDER ID NO | AZ |
| 01 | — | 117284 | AHCCCS PROVIDER ID NO. | AZ |