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Organization

FLORENCE CRITTENTON SERVICES OF ARIZONA, INC.

Active
Parent organization
FLORENCE CRITTENTON SERVICES OF ARIZONA, INC.
Other names
FCS Therapeutic Group Home
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
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH-2133
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
747058
AZ
Enumeration date
02/25/2008
Last updated
04/28/2014
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