Provider Demographics
NPI:1487198388
Name:TREATMENT ASSESSMENT SCREENING CENTER, INC
Entity Type:Organization
Organization Name:TREATMENT ASSESSMENT SCREENING CENTER, INC
Other - Org Name:TASC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-417-2204
Mailing Address - Street 1:4016 N BLACK CANYON HWY
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85017-4730
Mailing Address - Country:US
Mailing Address - Phone:602-254-7328
Mailing Address - Fax:
Practice Address - Street 1:244 W DRACHMAN ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-7228
Practice Address - Country:US
Practice Address - Phone:520-903-2525
Practice Address - Fax:520-903-0505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-12
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTC7190251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health