BLACK FAMILY AND CHILD SERVICES, INC. (NPI# 1962680041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962680041 |
| Entity Type | Organization |
| Organization Name | BLACK FAMILY AND CHILD SERVICES, INC. |
| Practice Address |
1522 E Southern Ave Phoenix AZ 85040-3543 |
| Practice Telephone | 6022431773 |
| Practice Fax Number | 6022761984 |
| Mailing Telephone | 6022431773 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |
| Authorized Official Name | MS. MARY M. BLACK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6022431498 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | BH512 | AZ | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053362368 | Black Family and Child Services, Inc. | Counselor | 1522 E Southern Ave, Phoenix, AZ 85040-3543 | 2006-05-12 |
| Street Address |
1522 E SOUTHERN AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85040-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053362368 | Black Family and Child Services, Inc. | Counselor | 1522 E Southern Ave, Phoenix, AZ 85040-3543 | 2006-05-12 |
| 1972975522 | Black Family and Child Services Inc | Community/Behavioral Health | 1522 E Southern Ave, Phoenix, AZ 85040-3543 | 2015-10-22 |
| 1235501883 | Black Family and Child Services Inc | Community/Behavioral Health | 1522 E Southern Ave, Phoenix, AZ 85040-3543 | 2015-10-22 |
| 1871965426 | Black Family and Child Services Inc | Community/Behavioral Health | 1522 E Southern Ave, Phoenix, AZ 85040-3543 | 2015-10-22 |
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| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.