Organization
EMPACT - SUICIDE PREVENTION CENTER
Active
Organization
EMPACT - SUICIDE PREVENTION CENTER
Active
Other names
San Tan Adults with Serious Mental Illness Program
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LARSON-HUFFAKER (EXECUTIVE DIRECTOR)
(480) 784-1514
Entity
Organization
Contact information
Practice address
2474 E HUNT HWY, #100, SAN TAN VALLEY, AZ 85143-5210
(480) 784-1514
(480) 967-3528
Mailing address
618 S MADISON DR, TEMPE, AZ 85281-7248
(480) 784-1514
(480) 967-3528
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OTC7423
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084711
—
AZ
Enumeration date
12/06/2016
Last updated
06/09/2017
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