| Arizona Support Services And Intensive Skills Training, Inc. | |
|
2957 N Us Highway 89 Prescott AZ 86301-4963 | |
| (928) 443-9290 | |
| (928) 277-4806 |
| Full Name | Arizona Support Services And Intensive Skills Training, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2957 N Us Highway 89, Prescott, Arizona |
| Authorized Official Name and Position | Angela Dawn Levin (PRESIDENT) |
| Authorized Official Contact | 9284439290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Support Services And Intensive Skills Training, Inc. Po Box 300 Kirkland AZ 86332-0300 Ph: (928) 443-9290 | Arizona Support Services And Intensive Skills Training, Inc. 2957 N Us Highway 89 Prescott AZ 86301-4963 Ph: (928) 443-9290 |
| NPI Number | 1679717441 |
|---|---|
| Provider Enumeration Date | 04/23/2009 |
| Last Update Date | 04/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679717441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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