Provider Demographics
NPI:1811102668
Name:CHILD & FAMILY RESOURCES, INC.
Entity type:Organization
Organization Name:CHILD & FAMILY RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:520-321-3747
Mailing Address - Street 1:2800 E BROADWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-5310
Mailing Address - Country:US
Mailing Address - Phone:520-321-3747
Mailing Address - Fax:520-325-8780
Practice Address - Street 1:1827 N MASTICK WAY
Practice Address - Street 2:
Practice Address - City:NOGALES
Practice Address - State:AZ
Practice Address - Zip Code:85621-1064
Practice Address - Country:US
Practice Address - Phone:520-281-9303
Practice Address - Fax:520-281-9560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCSA06ADHS0153251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZCSA06ADHS0153OtherCSA TITLE XIX CERTIFICATE
AZ909898OtherAHCCCS I.D. NUMBER