| Treatment Assessment Screening Center, Inc | |
|
2302 N 7th St Phoenix AZ 85006-1602 | |
| (602) 368-4610 | |
| (602) 688-6496 |
| Full Name | Treatment Assessment Screening Center, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2302 N 7th St, Phoenix, Arizona |
| Authorized Official Name and Position | Latrice Shannon Hickman (DIRECTOR OF PRGRM. DVLPMT.) |
| Authorized Official Contact | 6022547328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Treatment Assessment Screening Center, Inc 4016 N Black Canyon Hwy Phoenix AZ 85017-4730 Ph: (602) 254-7328 | Treatment Assessment Screening Center, Inc 2302 N 7th St Phoenix AZ 85006-1602 Ph: (602) 368-4610 |
| NPI Number | 1801391800 |
|---|---|
| Provider Enumeration Date | 03/29/2018 |
| Last Update Date | 03/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801391800 | NPI | - | NPPES |
| CSLG6804 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES - BUREAU OF MEDICAL FACILITIES LICENSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSLG6804 (Arizona) | Primary |
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