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Organization

FRIENDSHIP COMMUNITY MENTAL HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRANK JESUS LISAC (ADMINISTRATOR/CLINICAL DIRECTOR)
(602) 241-6656
Entity
Organization

Contact information

Practice address
730 E HIGHLAND AVE, PHOENIX, AZ 85014-3625
(602) 241-6656
Mailing address
730 E HIGHLAND AVE, PHOENIX, AZ 85014-3625
(602) 241-6656

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LISAC 10387
BEHAVIORAL HEALTH
AZ
Enumeration date
08/23/2012
Last updated
08/23/2012
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