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Organization
COMMUNITY MEDICAL SERVICES IV LLC
Active
Organization
COMMUNITY MEDICAL SERVICES IV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEELY N TORRES (QUALITY IMPROVEMENT)
(602) 248-8886
Entity
Organization
Contact information
Practice address
2559 E 7TH AVE, FLAGSTAFF, AZ 86004-3722
(928) 714-0010
Mailing address
3825 N 24TH ST, PHOENIX, AZ 85016-6512
(602) 248-8886
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BH1242
AZ
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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