Organization
ARIZONA YOUTH & FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANTHONY NIXON LCSW (CEO)
(602) 277-4833
Entity
Organization
Contact information
Practice address
3707 NORTH 7TH STREET, SUITE 200, PHOENIX, AZ 85014
(602) 277-4833
(602) 277-4820
Mailing address
3707 NORTH 7TH STREET, SUITE 200, PHOENIX, AZ 85014
(602) 277-4833
(602) 277-4820
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3547
AZ
251S00000X
Community/Behavioral Health Agency
BH2580
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
942476
AHCCCS
AZ
Enumeration date
12/06/2006
Last updated
10/19/2018
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