Organization
CATHOLIC CHARITIES COMMUNITY SERVIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTEN J SCHMIDT PHD (CHIEF OPERATING OFFICER)
(928) 774-9125
Entity
Organization
Contact information
Practice address
306 S O LEARY ST, FLAGSTAFF, AZ 86001-5828
(928) 226-8600
Mailing address
460 N SWITZER CANYON, #400, FLAGSTAFF, AZ 86001
(928) 774-9125
(928) 774-0697
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
C1
AZ
Other
Enumeration date
02/16/2007
Last updated
07/21/2022
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