Organization
CHRISTIAN FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA L LAREN (PROFESSIONAL FOSTER CARE)
(623) 986-1812
Entity
Organization
Contact information
Practice address
14418 W CAMERON DR, SURPRISE, AZ 85379-4420
(623) 986-1812
Mailing address
3603 N 7TH AVE, PHOENIX, AZ 85013-3638
(602) 234-1935
(602) 234-0022
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1514
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529612
—
AZ
Enumeration date
02/13/2014
Last updated
02/13/2014
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