Organization
JEWISH FAMILY & CHILDREN'S SERVICE
Active
Organization
JEWISH FAMILY & CHILDREN'S SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORRIE HENDERSON PHD, MBA, LCSW (PRESIDENT & CEO)
(602) 279-7655
Entity
Organization
Contact information
Practice address
1840 N 95TH AVE STE 160, PHOENIX, AZ 85037-4313
(623) 234-9811
(623) 234-9815
Mailing address
4747 N 7TH ST STE 100, PHOENIX, AZ 85014-3654
(602) 279-7655
(602) 253-8891
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091286
—
AZ
Enumeration date
09/13/2010
Last updated
07/18/2024
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