| For The Community Services | |
|
5124 N 19th Ave Suite #250 Phoenix AZ 85015-3233 | |
| (602) 249-2996 | |
| (602) 242-3405 |
| Full Name | For The Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5124 N 19th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Arntbause Gary Slone (CEO) |
| Authorized Official Contact | 6022492996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| For The Community Services 5124 N 19th Ave Suite #250 Phoenix AZ 85015-3233 Ph: (602) 249-2996 | For The Community Services 5124 N 19th Ave Suite #250 Phoenix AZ 85015-3233 Ph: (602) 249-2996 |
| NPI Number | 1881753184 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 10/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881753184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH3118 (Arizona) | Primary |
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