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: 1437694767
251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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 4807841514

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This page was last updated on: 5/19/2019