Organization
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC
Active
Other names
CMS BURNSVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX G VILCHIS (CRED MANAGER)
(602) 248-8886
Entity
Organization
Contact information
Practice address
1703 COUNTY ROAD 42 W, BURNSVILLE, MN 55306-6214
(602) 248-8886
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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