Provider Demographics
NPI:1114796174
Name:ANESCIENT INSTITUTE
Entity Type:Organization
Organization Name:ANESCIENT INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CELESKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-616-1409
Mailing Address - Street 1:10209 W RIVERSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:TOLLESON
Mailing Address - State:AZ
Mailing Address - Zip Code:85353-8304
Mailing Address - Country:US
Mailing Address - Phone:480-616-1409
Mailing Address - Fax:
Practice Address - Street 1:10209 W RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:TOLLESON
Practice Address - State:AZ
Practice Address - Zip Code:85353-8304
Practice Address - Country:US
Practice Address - Phone:480-616-1409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-01
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable