Organization
TREATMENT ASSESSMENT SCREENING CENTER, INC
Active
Organization
TREATMENT ASSESSMENT SCREENING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRICE SHANNON HICKMAN (DIRECTOR OF PRGRM. DVLPMT.)
(602) 254-7328
Entity
Organization
Contact information
Practice address
2302 N 7TH ST, PHOENIX, AZ 85006-1602
(602) 368-4610
(602) 688-6496
Mailing address
4016 N BLACK CANYON HWY, PHOENIX, AZ 85017-4730
(602) 254-7328
(602) 255-0851
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSLG6804
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSLG6804
ARIZONA DEPARTMENT OF HEALTH SERVICES - BUREAU OF MEDICAL FACILITIES LICENSING
AZ
Enumeration date
03/29/2018
Last updated
03/29/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up