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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