Organization
FAMILY SERVICE AGENCY
Active
Other names
Addiction Resources Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SORAIDA DURAZO (SYSTEMS MANAGER)
(602) 863-1862
Entity
Organization
Contact information
Practice address
4337 W INDIAN SCHOOL RD STE 109-110, PHOENIX, AZ 85031-2982
(602) 233-9401
(602) 233-1302
Mailing address
PO BOX 86537, TUCSON, AZ 85754-6537
(520) 721-1887
(520) 721-0069
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC8397
STATE OF ARIZONA
AZ
Enumeration date
12/20/2023
Last updated
12/20/2023
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