Provider Demographics
NPI:1659629350
Name:ACCS,INC.
Entity Type:Organization
Organization Name:ACCS,INC.
Other - Org Name:JUANITA RODRIGUEZ, ACCS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LADC, NCAC I, Q-SAP
Authorized Official - Phone:308-630-6561
Mailing Address - Street 1:2620 COLLEGE PARK
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-2295
Mailing Address - Country:US
Mailing Address - Phone:308-630-6561
Mailing Address - Fax:308-630-6565
Practice Address - Street 1:2620 COLLEGE PARK
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-2295
Practice Address - Country:US
Practice Address - Phone:308-630-6561
Practice Address - Fax:308-630-6565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE20101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty