Provider Demographics
NPI:1215399126
Name:ARROWHEAD EVALUATION SERVICES, INC.
Entity Type:Organization
Organization Name:ARROWHEAD EVALUATION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-255-8024
Mailing Address - Street 1:1680 PLUM LN
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-4532
Mailing Address - Country:US
Mailing Address - Phone:909-335-2323
Mailing Address - Fax:909-801-2403
Practice Address - Street 1:1680 PLUM LN
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-4532
Practice Address - Country:US
Practice Address - Phone:909-335-2323
Practice Address - Fax:909-801-2403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34998174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty