Organization
COMMUNITY SUPPORT SERVICES, INC.
Active
Organization
COMMUNITY SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLETTE ITAMI (PRESIDENT/CEO)
(480) 629-5994
Entity
Organization
Contact information
Practice address
7142 N 58TH DR, GLENDALE, AZ 85301-2460
(480) 629-5994
(480) 629-5996
Mailing address
10645 N TATUM BLVD, PHOENIX, AZ 85028-3068
(602) 309-4210
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OTC8459
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
249529
—
AZ
Enumeration date
03/27/2017
Last updated
10/04/2024
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