NPI | 1154822062 |
---|---|
Doing Business As | COMMUNITY MEDICAL SERVICES - CASA GRANDE |
Entity Type | Organization |
Authorized Contact | NICK STAVROS CEO 602-248-8886 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: AZ OTC8725) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ OTC8725) |
251S00000X Community/Behavioral Health | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2018-02-26 |
Last Update Date | 2025-08-21 |