| Tasc, Inc. | |
|
4016 N Black Canyon Hwy Phoenix AZ 85017-4730 | |
| (602) 254-7328 | |
| (602) 255-0851 |
| Full Name | Tasc, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4016 N Black Canyon Hwy, Phoenix, Arizona |
| Authorized Official Name and Position | Douglas K. Kramer (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6022547328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tasc, Inc. 4016 N Black Canyon Hwy Phoenix AZ 85017-4730 Ph: (602) 254-7328 | Tasc, Inc. 4016 N Black Canyon Hwy Phoenix AZ 85017-4730 Ph: (602) 254-7328 |
| NPI Number | 1174874424 |
|---|---|
| Provider Enumeration Date | 09/26/2012 |
| Last Update Date | 10/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174874424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-3225 (Arizona) | Primary |
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