What is NPI number 1619451804?

COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC

Clinic/Center - Methadone

Active Organization

NPI: 1619451804

Practice Address

4527 NORTH 27TH AVENUE
Phoenix, AZ 85017

Specialties

Specialty	Code	Primary	License
Counselor - Addiction (Substance Use Disorder)	101YA0400X	No	-
Community/Behavioral Health	251S00000X	No	-
Clinic/Center - Mental Health (Including Community Mental Health Center)	261QM0801X	No	-
Clinic/Center - Rehabilitation, Substance Use Disorder	261QR0405X	No	-
Clinic/Center - Methadone	261QM2800X	Yes	-

Frequently Asked Questions

NPI 1619451804 is the National Provider Identifier for COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC, a Clinic/Center - Methadone provider located in Phoenix, AZ. This NPI was enumerated on September 24, 2018.

Quick Facts

NPI: 1619451804
Type: Organization
Enumerated: Sep 24, 2018
Last Updated: Jun 8, 2024

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JEANNETTE VAUGHN-DOTTERER, DMSC, PA-C
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COMPASSIONATE BEHAVIOR SERVICES
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