Fcs Therapeutic Group Home
LBN: Florence Crittenton Services Of Arizona, Inc.
Fcs Therapeutic Group Home is an health care organization with primary practice located at 715 W Mariposa St , Phoenix AZ 85013-2449. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty.
Florence Crittenton Services Of Arizona, Inc. can be contacted via phone (602) 274-7318, or through Warren, Kellie M. via phone (602) 274-7318.
Contact Information
Primary practice address
715 W Mariposa St
Phoenix AZ 85013-2449
Phone: (602) 274-7318
Fax: (602) 274-7549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | BH-2133 | Arizona |
Profile Details
| NPI number | 1326217308 |
|---|---|
| LBN Legal business name | Florence Crittenton Services Of Arizona, Inc. |
| DBA Doing business as | Fcs Therapeutic Group Home |
| Authorized official | Warren, Kellie M. PSY.D. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 25th, 2008 |
| Last updated | Apr 28th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326217308 | NPPES |
| Arizona | MEDICAID | 747058 |
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