Organization
ADDICTION SERVICES
Active
Other names
CMS MEDPRO
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY GAITHER (VICE PRESIDENT REVENUE CYCLE MANAGE)
(602) 248-8886
Entity
Organization
Contact information
Practice address
405 N MCDONALD ST STE B, MCKINNEY, TX 75069-3911
(972) 542-4144
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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