Organization
EMPACT SUICIDE PREVENTION CENTER INC
Active
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
7834 N 59TH AVE, GLENDALE, AZ 85301-7817
(480) 784-1514
(480) 967-3528
Mailing address
618 S MADISON DR, TEMPE, AZ 85281-7248
(480) 784-1514
(480) 967-3528
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-1958
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
622987
—
AZ
Enumeration date
02/15/2007
Last updated
03/05/2026
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