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Community Medical Services Arizona-private, Llc
Substance Use Disorder Rehabilitation Clinic/Center in Kingman, Arizona
NPI 1962069468

Community Medical Services Arizona-private, Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Scottsdale, AZ and is specialized in Rehabilitation, Substance Use Disorder. Community Medical Services Arizona-private, Llc practices in Kingman, AZ. The NPI Number for Community Medical Services Arizona-private, Llc is 1962069468 and holds a License No. (Arizona).

The current practice location address for Community Medical Services Arizona-private, Llc is 1115 N Stockton Hill Rd Ste 103&104, Kingman, AZ and can be reached out via phone at 928-565-6599 and via fax at 928-529-5180.

Location: 1115 N Stockton Hill Rd Ste 103&104, Kingman, AZ, 85258-4437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962069468
Provider Name
Community Medical Services Arizona-private, Llc
Credential
Provider Entity Type
Organization
Address
1115 N Stockton Hill Rd Ste 103&104, Kingman, AZ, 85258-4437
Phone Number
928-565-6599
Fax Number
928-529-5180
Provider Enumeration Date
05/21/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1115 N Stockton Hill Rd Ste 103&104
City
Kingman
State
Arizona
Zip
86401-6232
Phone Number
928-565-6599
Fax Number
928-529-5180
person
Provider Business Mailing Address Details
Address
1115 N Stockton Hill Rd Ste 103&104
City
Kingman
State
Arizona
Zip
86401-6232
Phone Number
928-565-6599
Fax Number
928-529-5180
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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