Organization
TREATMENT ASSESSMENT SCREENING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRICE HICKMAN (DIRECTOR OF COMMUNITY PROGRAMMING)
(602) 254-7328
Entity
Organization
Contact information
Practice address
145 E 1300 S STE 101, SALT LAKE CITY, UT 84115-6118
(801) 203-3761
(801) 396-2950
Mailing address
4016 N BLACK CANYON HWY, PHOENIX, AZ 85017-4730
(602) 254-7328
(602) 255-0851
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
28145
UT
Other
Enumeration date
10/22/2015
Last updated
03/08/2017
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