Provider Demographics
NPI:1578712204
Name:ARIZONA TRAINING & EVALUATION CENTER, INC. (AZTEC)
Entity Type:Organization
Organization Name:ARIZONA TRAINING & EVALUATION CENTER, INC. (AZTEC)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:623-412-2888
Mailing Address - Street 1:7400 W. OLIVE AVENUE
Mailing Address - Street 2:SUITE 24
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-8891
Mailing Address - Country:US
Mailing Address - Phone:623-412-2888
Mailing Address - Fax:623-412-2766
Practice Address - Street 1:7400 W OLIVE AVE
Practice Address - Street 2:SUITE 24
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-8889
Practice Address - Country:US
Practice Address - Phone:623-412-2888
Practice Address - Fax:623-412-2766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities