| Community Medical Services Iv Llc | |
|
2559 E 7th Ave Flagstaff AZ 86004-3722 | |
| (928) 714-0010 | |
| Not Available |
| Full Name | Community Medical Services Iv Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2559 E 7th Ave, Flagstaff, Arizona |
| Authorized Official Name and Position | Keely N Torres (QUALITY IMPROVEMENT) |
| Authorized Official Contact | 6022488886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Services Iv Llc 3825 N 24th St Phoenix AZ 85016-6512 Ph: (602) 248-8886 | Community Medical Services Iv Llc 2559 E 7th Ave Flagstaff AZ 86004-3722 Ph: (928) 714-0010 |
| NPI Number | 1598993057 |
|---|---|
| Provider Enumeration Date | 06/23/2009 |
| Last Update Date | 06/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598993057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | BH1242 (Arizona) | Primary |
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