Organization
JEWISH FAMILY AND CHILDRENS SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS F UPDIKE PHD (PRESIDENT AND CEO)
(602) 279-7655
Entity
Organization
Contact information
Practice address
4220 N 20TH AVE, PHOENIX, AZ 85015-5101
(602) 279-7655
(602) 241-5756
Mailing address
4220 N 20TH AVE, PHOENIX, AZ 85015-5101
(602) 279-7655
(602) 241-5756
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH982
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007494
—
AZ
Enumeration date
12/13/2006
Last updated
08/22/2020
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