Organization Name: | LDS FAMILY SERVICES |
NPI Number: | 1063630788 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER A FRAZIER (DIRECTOR) |
Mailing Address: | 641 S Main St Snowflake |
State: | AZ US |
Postal Code: | 859375595 |
Phone Number: | 9285364117 |
Fax Number: | 9285364117 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 04/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 06/03/2008 |
NPI Reactivation Date: | 09/19/2008 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |