| Community Medical Services Iv Llc | |
|
3050 N Navajo Dr Prescott Valley AZ 86314-8663 | |
| (928) 775-7088 | |
| (928) 775-7099 |
| Full Name | Community Medical Services Iv Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3050 N Navajo Dr, Prescott Valley, Arizona |
| Authorized Official Name and Position | Keely 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: () - | Community Medical Services Iv Llc 3050 N Navajo Dr Prescott Valley AZ 86314-8663 Ph: (928) 775-7088 |
| NPI Number | 1609004167 |
|---|---|
| Provider Enumeration Date | 06/23/2009 |
| Last Update Date | 06/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609004167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | BH-2862 (Arizona) | Primary |
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