| Community Medical Services Iv Llc | |
|
809 Hancock Rd Ste 1 Bullhead City AZ 86442-5045 | |
| (928) 775-7088 | |
| (928) 775-7099 |
| Full Name | Community Medical Services Iv Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 809 Hancock Rd Ste 1, Bullhead City, 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: () - | Community Medical Services Iv Llc 809 Hancock Rd Ste 1 Bullhead City AZ 86442-5045 Ph: (928) 775-7088 |
| NPI Number | 1710115928 |
|---|---|
| Provider Enumeration Date | 06/25/2009 |
| Last Update Date | 06/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710115928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | BH-906 (Arizona) | Primary |
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