Provider Demographics
NPI:1083006449
Name:A TEAM MANAGEMENT GROUP LLC
Entity Type:Organization
Organization Name:A TEAM MANAGEMENT GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:G
Authorized Official - Last Name:ARSLANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-760-5177
Mailing Address - Street 1:120 W 1470 S
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-6798
Mailing Address - Country:US
Mailing Address - Phone:435-760-5177
Mailing Address - Fax:
Practice Address - Street 1:120 W 1470 S
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-6798
Practice Address - Country:US
Practice Address - Phone:435-760-5177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-23
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility