Organization
EMPACT - SUICIDE PREVENTION CENTER
Active
Parent organization
EMPACT - SUICIDE PREVENTION CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMPACT - SUICIDE PREVENTION CENTER
Authorized official
BRITTANY RASMUSSEN (CREDENTIALING COORDINATOR)
(480) 784-1514
Entity
Organization
Contact information
Practice address
1035 E JEFFERSON ST, PHOENIX, AZ 85034-2295
(602) 251-0650
(602) 251-0632
Mailing address
618 S MADISON DR, TEMPE, AZ 85281-7248
(480) 784-1514
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589359
—
AZ
Enumeration date
06/04/2024
Last updated
06/04/2024
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