Whalio Doctors

NPI 1053490052

Catholic Charities Community Services, INC

Organisation Community/Behavioral Health Agency Prescott, AZ

Practice location

Address
434 W Gurley Street, Prescott, AZ 86301
Phone
(928) 778-2531
Fax
(928) 771-9531
Mailing address
5151 N 19th Ave, Phoenix, AZ 85015-3224

Authorised official

Name
John Lang
Title
Resource Support Specialist
Phone
(928) 864-7371

Registered specialties (2)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence OTC5874 (AZ)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence BH316 (AZ)

Registry record

NPI
1053490052
Entity type
Organization
NPI issued
2 Nov 2006
Record last updated
14 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.