Organization
CCFX,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARYLE LOIS CALVERT BSW (CEO)
(602) 206-6999
Entity
Organization
Contact information
Practice address
2622 E JAVELINA CIR, MESA, AZ 85204-7127
(602) 206-6999
Mailing address
2622 E JAVELINA CIR, MESA, AZ 85204-7127
(602) 206-6999
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
11/07/2012
Last updated
11/08/2012
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