Provider Demographics
NPI:1316375611
Name:ALCOHOL RECOVERY SOLUTIONS, INC.
Entity Type:Organization
Organization Name:ALCOHOL RECOVERY SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GIGI
Authorized Official - Middle Name:NANETTA
Authorized Official - Last Name:VEASEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LISAC
Authorized Official - Phone:480-496-9760
Mailing Address - Street 1:15215 S 48TH ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-9142
Mailing Address - Country:US
Mailing Address - Phone:480-496-9760
Mailing Address - Fax:480-496-7121
Practice Address - Street 1:15215 S 48TH ST
Practice Address - Street 2:SUITE 150
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-9142
Practice Address - Country:US
Practice Address - Phone:480-496-9760
Practice Address - Fax:480-496-7121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-23
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH2736251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health