Provider Demographics
NPI:1164694170
Name:CHILD & FAMILY RESOURCES, INC.
Entity Type:Organization
Organization Name:CHILD & FAMILY RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOZORETZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:520-320-4039
Mailing Address - Street 1:2800 E BROADWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-5310
Mailing Address - Country:US
Mailing Address - Phone:520-320-4039
Mailing Address - Fax:520-325-8780
Practice Address - Street 1:301 E 4TH ST STE B
Practice Address - Street 2:
Practice Address - City:SAFFORD
Practice Address - State:AZ
Practice Address - Zip Code:85546-2074
Practice Address - Country:US
Practice Address - Phone:928-428-7231
Practice Address - Fax:928-428-7248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH-2689251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ909921OtherAHCCCS