Provider Demographics
NPI:1265027601
Name:ARIZONA COMMUNITY FIRST
Entity Type:Organization
Organization Name:ARIZONA COMMUNITY FIRST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:NAOMI
Authorized Official - Last Name:CELESTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-442-8947
Mailing Address - Street 1:PO BOX 5160
Mailing Address - Street 2:
Mailing Address - City:HUACHUCA CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85616-5160
Mailing Address - Country:US
Mailing Address - Phone:520-442-8947
Mailing Address - Fax:
Practice Address - Street 1:2152 N ELDER AVE
Practice Address - Street 2:
Practice Address - City:HUACHUCA CITY
Practice Address - State:AZ
Practice Address - Zip Code:85616-8124
Practice Address - Country:US
Practice Address - Phone:520-442-8947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children