03D2116836 CLIA NUMBER - EMPACT - SUICIDE PREVENTION CENTER

Laboratory Demographics

CLIA Number: 03D2116836

Facility Name: EMPACT - SUICIDE PREVENTION CENTER

Facility Address:
618 S MADISON DR
TEMPE, AZ
ZIP 85281
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Facility Phone Number: (480) 784-1514

Facility Type: COMMUNITY CLINIC

Certificate Type: Waiver

NPI Number: 1255881579

Taxonomy: 251S00000X - Community/Behavioral Health
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.

CLIA Record

Field Name	Field Value
CLIA Number	03D2116836
LAB Type	COMMUNITY CLINIC
Facility Name	EMPACT - SUICIDE PREVENTION CENTER
Street	618 S MADISON DR
City	TEMPE
State	AZ
ZIP	85281
Phone	(480) 784-1514

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This page was last updated on: 5/11/2023