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JEWISH FAMILY AND CHILDRENS SERVICE NPI 1730242389


NPI Information

NPI: 1730242389
Provider Name: JEWISH FAMILY AND CHILDRENS SERVICE

Other Name: CENTER FOR LIFE ENRICHMENT

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 03D2092106

Address:
4545 E SHEA BLVD
174
PHOENIX, AZ
ZIP 85028
Phone: (602) 279-7655
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JEWISH FAMILY AND CHILDRENS SERVICE is a community behavioral health in Phoenix, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. JEWISH FAMILY AND CHILDRENS SERVICE NPI is 1730242389. The provider is registered as an organization entity type.
The provider Other Name Is Center For Life Enrichment.

The provider's business location address is:

4545 E SHEA BLVD
174
PHOENIX, AZ
ZIP 85028-074
Phone: (602) 279-7655
Fax: (602) 241-5756

The provider's authorized official is Michael R Zent .
The authorized official title is President And Ceo and has the following contact phone number (602) 279-7655.

The CLIA number assigned to this NPI record is 03D2092106 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 4/28/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CFLEOTHERARIZONAPROGRAM
2ZWCMBNMEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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