San Tan Adults With Serious Mental Illness Program

LBN: Empact - Suicide Prevention Center
San Tan Adults With Serious Mental Illness Program is an health care organization with primary practice located at 2474 E Hunt Hwy #100, San Tan Valley AZ 85143-5210. 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-Huffaker, Laura via phone (480) 784-1514.

Contact Information

Primary practice address
2474 E Hunt Hwy #100 San Tan Valley AZ 85143-5210
Phone: (480) 784-1514
Fax: (480) 967-3528
Website:
Map and Directions
Authorized official contact:
Name: Larson-Huffaker, Laura
Phone: (480) 784-1514

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X OTC7423 Arizona

Profile Details

NPI number 1093259301
LBN Legal business name Empact - Suicide Prevention Center
DBA Doing business as San Tan Adults With Serious Mental Illness Program
Authorized official Larson-Huffaker, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2016
Last updated Jun 9th, 2017 - 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 1093259301 NPPES
Arizona MEDICAID 084711

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