| NPI Details | |
|---|---|
| NPI | 1053362368 |
| Enumeration Date | 05/12/2006 |
| Last Updated | 01/17/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | MARY M MARY |
| Position | EXECUTIVE DIRECTOR |
| Phone | (602) 243-1773 |
| Fax | (602) 243-1483 |
| Practice Location | |
|---|---|
| 1522 E SOUTHERN AVE PHOENIX AZ, 85040-3543, US |
|
| Phone | (602) 243-1773 |
| Fax | (602) 243-1483 |
| Business Location | |
|---|---|
| 1522 E SOUTHERN AVE PHOENIX AZ, 85040-3543, US |
|
| Phone | (602) 243-1773 |
| Fax | (602) 243-1483 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101Y00000X |
| License State | Arizona |
| License Number | BH 512 |
| Remove 1053362368 NPI Number | |
According to our database, Black Family And Child Services, Inc. NPI is 1053362368, taxonomy code is 101Y00000X and license number is BH 512, license state is located at Arizona. Black Family And Child Services, Inc. physically located at 1522 E Southern Ave, Phoenix AZ, 85040-3543. NPI Number 1033115704 has the healthcare provider type.
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1053362368 NPI number is provided on an as is basis without warranty of any kind. 1053362368 is maintained by the National Plan & Provider Enumeration System. The contents of Black Family And Child Services, Inc. are for informational purposes only.
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