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Organization

NORTHLAND FAMILY HELP CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SONJA BURKHALTER (EXECUTIVE DIRECTOR)
(928) 233-4310
Entity
Organization

Contact information

Practice address
2100 N WALGREENS ST, FLAGSTAFF, AZ 86004-6112
(928) 527-1700
Mailing address
2724 E LAKIN DR, SUITE 7, FLAGSTAFF, AZ 86004-3900
(928) 774-4593

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH 1709
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BH 1709
LEVEL III RESIDENTIAL
AZ
Enumeration date
12/27/2006
Last updated
08/22/2020
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