Provider Demographics
NPI:1467105767
Name:ARIZONA COMMUNITY FIRST
Entity Type:Organization
Organization Name:ARIZONA COMMUNITY FIRST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CELESTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-442-8947
Mailing Address - Street 1:2152 N ELDER AVE
Mailing Address - Street 2:
Mailing Address - City:HUACHUCA CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85616-8124
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?:Yes
Parent Organization LBN:ARIZONA COMMUNITY FIRST LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health