Organization · Type 2 NPI

Noahs Ark Family Clinic Corp

Community/Behavioral Health Agency · Phoenix, AZ

NPI number 1093855082 Active

Practice location

6707 N 19th Ave Ste 105
Phoenix, AZ 85015-1105

Fax (480) 919-7040

Mailing address

7800 N 55th Ave Ste 106&107
Glendale, AZ 85301-1321

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Addiction Medicine (Family Medicine) Physician 207QA0401XNone listed
Developmental - Behavioral Pediatrics Physician 2080P0006XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed
Medical Specialty Clinic/Center 261QM2500XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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 suppo…

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About NPI 1093855082

Noahs Ark Family Clinic Corp's National Provider Identifier is 1093855082, issued on Feb 7, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 10, 2024.