Organization
EMPACT - SUICIDE PREVENTION CENTER
Active
Other names
EMPACT-SPC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERICA CHESTNUT-RAMIREZ MC, LIAC (REGIONAL VICE PRESIDENT)
(480) 784-1514
Entity
Organization
Contact information
Practice address
21476 N JOHN WAYNE PKWY STE C101, MARICOPA, AZ 85139-8984
(520) 316-6068
(520) 568-6289
Mailing address
618 S. MADISON DRIVE, TEMPE, AZ 85281-7248
(480) 784-1514
(480) 967-3528
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
3046
AZ
251S00000X
Community/Behavioral Health Agency
Primary
BH-4162
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3046
AZ DEPARTMENT OF HEALTH SERVICES BEHAVIORAL HEALTH LICENSE
AZ
Enumeration date
06/26/2008
Last updated
07/28/2025
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