Organization
PHOENIX INTERFAITH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY J ELDRIDGE (DIRECTOR OF OPERATIONS)
(602) 532-0777
Entity
Organization
Contact information
Practice address
4201 N 16TH ST STE 250, PHOENIX, AZ 85016-5375
(602) 532-0777
(602) 532-0999
Mailing address
555 W GLENDALE AVE, PHOENIX, AZ 85021-8763
(602) 532-0777
(602) 532-0999
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH2448
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
948458
—
AZ
Enumeration date
07/18/2007
Last updated
07/18/2007
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