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LIFE CHANGE FAMILY SERVICES INC NPI 1518417583


NPI Information

NPI: 1518417583
Provider Name: LIFE CHANGE FAMILY SERVICES INC
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
20018 N TOLEDO AVE
MARICOPA, AZ
ZIP 85138
Phone: (520) 374-0072
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LIFE CHANGE FAMILY SERVICES INC is a substance abuse treatment and children substance abuse rehabilitation facility in Maricopa, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. LIFE CHANGE FAMILY SERVICES INC NPI is 1518417583. The provider is registered as an organization entity type.

The provider's business location address is:

20018 N TOLEDO AVE
MARICOPA, AZ
ZIP 85138-359
Phone: (520) 374-0072

The provider's authorized official is Claudette Walker .
The authorized official title is President and has the following contact phone number (520) 374-0072.

The enumeration date for this NPI number is 10/13/2016 and was last updated on 10/13/2016.


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
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenBH 5008ARIZONAYes

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
1BH 5008OTHERARIZONAARIZONA DEPARTMENT OF HEALTH LICENSE

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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