Organization
CHRISTIAN FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLENA NICOLE HENDERSON BS (HCTC PROVIDER)
(480) 293-4022
Entity
Organization
Contact information
Practice address
305 W CYPRESS ST, PHOENIX, AZ 85003-1104
(480) 293-4022
Mailing address
305 W CYPRESS STREET, PHOENIX, AZ 85003
(480) 293-4022
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
5662295
AZ
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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