Organization
CATHOLIC CHARITIES COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIGID WAGNER MA (PROGRAMS DIRECTOR)
(928) 607-3527
Entity
Organization
Contact information
Practice address
1594 N OATMAN RD, BULLHEAD CITY, AZ 86442-7308
(928) 758-4176
(928) 758-5141
Mailing address
2101 N 4TH ST, FLAGSTAFF, AZ 86004-4200
(928) 774-9125
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH1013
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124185
AHCCCS
AZ
Enumeration date
11/02/2006
Last updated
01/28/2025
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