Provider Demographics
NPI:1295190197
Name:P & C FAMILY SERVICES INC
Entity Type:Organization
Organization Name:P & C FAMILY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CLEVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FUNCHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-754-3484
Mailing Address - Street 1:40 N CENTRAL AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-4436
Mailing Address - Country:US
Mailing Address - Phone:702-754-3484
Mailing Address - Fax:702-629-7952
Practice Address - Street 1:40 N CENTRAL AVE STE 1400
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-4436
Practice Address - Country:US
Practice Address - Phone:702-754-3484
Practice Address - Fax:702-629-7952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome HealthGroup - Multi-Specialty