Organization
EMPACT - SUICIDE PREVENTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VILMA ABARCA (CREDENTIALING ADMIN.)
(480) 784-1514
Entity
Organization
Contact information
Practice address
108 E 2ND AVE, MESA, AZ 85210-1410
(480) 784-1514
Mailing address
618 S MADISON DR, TEMPE, AZ 85281-7248
(480) 784-1514
(480) 967-3528
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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