Provider Demographics
NPI:1912026436
Name:CRISIS PREPARATION AND RECOVERY, INC
Entity Type:Organization
Organization Name:CRISIS PREPARATION AND RECOVERY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRISIS COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:480-804-0326
Mailing Address - Street 1:3260 N HAYDEN RD
Mailing Address - Street 2:101
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6649
Mailing Address - Country:US
Mailing Address - Phone:480-804-0326
Mailing Address - Fax:480-804-0083
Practice Address - Street 1:3260 N HAYDEN RD
Practice Address - Street 2:#101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6649
Practice Address - Country:US
Practice Address - Phone:480-804-0326
Practice Address - Fax:480-804-0083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-10884101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty