Organization
NORTHLAND FAMILY HELP CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONJA BURKHALTER (EXECUTIVE DIRECTOR)
(928) 774-4503
Entity
Organization
Contact information
Practice address
2100 N WALGREENS ST, FLAGSTAFF, AZ 86004-6112
(928) 527-1900
Mailing address
2724 E LAKIN DR, SUITE 7, FLAGSTAFF, AZ 86004-3900
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH 1709
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
591166
AHCCCS
AZ
Enumeration date
09/18/2007
Last updated
09/18/2007
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