| Arizona Counseling & Treatment Services, L.l.c. | |
|
13100 S. Sunland Gin Rd., Ste. 1 Arizona City AZ 85123 | |
| (928) 376-0220 | |
| (928) 376-0709 |
| Full Name | Arizona Counseling & Treatment Services, L.l.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13100 S. Sunland Gin Rd., Ste. 1, Arizona City, Arizona |
| Authorized Official Name and Position | Fred Cogburn (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9283760220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Counseling & Treatment Services, L.l.c. 2573 S Arizona Ave Ste D Yuma AZ 85364-7336 Ph: (928) 376-0220 | Arizona Counseling & Treatment Services, L.l.c. 13100 S. Sunland Gin Rd., Ste. 1 Arizona City AZ 85123 Ph: (928) 376-0220 |
| NPI Number | 1932420403 |
|---|---|
| Provider Enumeration Date | 06/18/2010 |
| Last Update Date | 06/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932420403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-3609 (Arizona) | Primary |
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