Organization
FSR INTERGRATIVE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAEGAN MARCHAND KNIGHT BS (PROGRAM MANAGER)
(623) 931-9300
Entity
Organization
Contact information
Practice address
8037 N. 43RD AVE, PHOENIX, AZ 85051
(623) 931-9300
(623) 931-9691
Mailing address
PO BOX 127, GLENDALE, AZ 85311-0127
(623) 931-9300
(623) 931-9691
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
10/31/2011
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