Organization
EMPACT - SUICIDE PREVENTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LARSON-HUFFAKER (EXECUTIVE DIRECTOR)
(480) 784-1514
Entity
Organization
Contact information
Practice address
2923 N 33RD AVE, PHOENIX, AZ 85017-5201
(602) 393-3840
Mailing address
618 S MADISON DR, TEMPE, AZ 85281-7248
(480) 784-1514
(480) 736-4939
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OTC6353
AZ
Other
Enumeration date
02/19/2014
Last updated
06/12/2017
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