Aj Adult With Serious Mental Illness Program

LBN: Empact - Suicide Prevention Center
Aj Adult With Serious Mental Illness Program is an health care organization with primary practice located at 11518 E Apache Trl #129, Apache Junction AZ 85120-3551. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Empact - Suicide Prevention Center can be contacted via phone (480) 784-1514, or through Larson-Huffacker, Laura via phone (480) 784-1514.

Contact Information

Primary practice address
11518 E Apache Trl #129 Apache Junction AZ 85120-3551
Phone: (480) 784-1514
Fax: (480) 967-3528
Website:
Map and Directions
Authorized official contact:
Name: Larson-Huffacker, Laura
Phone: (480) 784-1514

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X OTC7842-5DUT11 Arizona

Profile Details

NPI number 1114462306
LBN Legal business name Empact - Suicide Prevention Center
DBA Doing business as Aj Adult With Serious Mental Illness Program
Authorized official Larson-Huffacker, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2016
Last updated Dec 27th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114462306 NPPES
Arizona MEDICAID 183711

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