Organization
FLORENCE CRITTENTON SERVICES OF ARIZONA, INC.
Active
Parent organization
FLORENCE CRITTENTON SERVICES OF ARIZONA, INC.
Other names
FCS Community Based Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORENCE CRITTENTON SERVICES OF ARIZONA, INC.
Authorized official
KELLIE M. WARREN PSY.D. (CEO)
(602) 274-7318
Entity
Organization
Contact information
Practice address
715 W MARIPOSA ST, PHOENIX, AZ 85013-2449
(602) 274-7318
(602) 274-7549
Mailing address
715 W MARIPOSA ST, PHOENIX, AZ 85013-2449
(602) 274-7318
(602) 274-7549
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
BH-2133
AZ
251S00000X
Community/Behavioral Health Agency
Primary
OTC6608
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
830283
—
AZ
Enumeration date
06/26/2006
Last updated
12/05/2014
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