Provider Demographics
NPI:1326280306
Name:OUR CHILDREN OUR FUTURE LLC
Entity Type:Organization
Organization Name:OUR CHILDREN OUR FUTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYFFANI
Authorized Official - Middle Name:BUCHANAN
Authorized Official - Last Name:PURNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-233-6550
Mailing Address - Street 1:512 E SAINT KATERI LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85042-4265
Mailing Address - Country:US
Mailing Address - Phone:480-233-6550
Mailing Address - Fax:
Practice Address - Street 1:6811 N 32ND AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85017-1008
Practice Address - Country:US
Practice Address - Phone:602-841-0473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH3203251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health