Provider Demographics
NPI:1720391899
Name:CHRISTIAN FAITH INC.
Entity Type:Organization
Organization Name:CHRISTIAN FAITH INC.
Other - Org Name:COMMUNITY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:J
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCALF
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:623-377-0734
Mailing Address - Street 1:245 N. LITCHFIELD RD.
Mailing Address - Street 2:#143
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338
Mailing Address - Country:US
Mailing Address - Phone:623-377-0734
Mailing Address - Fax:
Practice Address - Street 1:245 N. LITCHFIELD RD.
Practice Address - Street 2:#143
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338
Practice Address - Country:US
Practice Address - Phone:623-377-0734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHRISTIAN FAITH INC./COMMUNITY CARE CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-19
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable