NPI | 1528777430 |
---|---|
Doing Business As | COMMUNITY MEDICAL SERVICES 23RD AVE |
Entity Type | Organization |
Authorized Contact | CINDY GAITHER VP Of Revenue Cycle Management 602-248-8886 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 251S00000X |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM2800X Clinic/Center, Methadone Clinic | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2022-11-18 |
Last Update Date | 2024-02-10 |