Organization
CATHOLIC CHARITIES COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTEN J SCHMIDT PHD (CHIEF OPERATING OFFICER)
(602) 285-1999
Entity
Organization
Contact information
Practice address
519 HALL STREET, KINGMAN, AZ 86401-6270
(928) 718-1117
(928) 718-1124
Mailing address
4747 N 7TH AVENUE, PHOENIX, AZ 85013-2401
(602) 285-1999
(602) 285-0311
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH2608
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110800
STATE OF ARIZONA
AZ
Enumeration date
11/02/2006
Last updated
08/22/2020
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