Provider Demographics
NPI:1629240015
Name:ADDICTION SERVICES, P.C.
Entity Type:Organization
Organization Name:ADDICTION SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO CLINICAL DIRECTOR ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LISCAC
Authorized Official - Phone:602-291-5210
Mailing Address - Street 1:PO BOX 31782
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85275-1782
Mailing Address - Country:US
Mailing Address - Phone:602-291-5210
Mailing Address - Fax:480-461-6816
Practice Address - Street 1:37 N HIBBERT
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-7421
Practice Address - Country:US
Practice Address - Phone:602-291-5210
Practice Address - Fax:480-461-6816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH-2422251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health