Provider Demographics
NPI:1558141275
Name:ACHIEVERS ACADEMY
Entity Type:Organization
Organization Name:ACHIEVERS ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:CRISTINA
Authorized Official - Last Name:LASLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-904-9624
Mailing Address - Street 1:607 W VILLA RITA DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-8103
Mailing Address - Country:US
Mailing Address - Phone:602-904-9624
Mailing Address - Fax:
Practice Address - Street 1:607 W VILLA RITA DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-8103
Practice Address - Country:US
Practice Address - Phone:602-904-9624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness