Provider Demographics
NPI:1760877211
Name:1 STOP
Entity Type:Organization
Organization Name:1 STOP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNDLEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:480-290-5688
Mailing Address - Street 1:9052 E HOBART ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-4246
Mailing Address - Country:US
Mailing Address - Phone:480-290-5688
Mailing Address - Fax:
Practice Address - Street 1:9052 E HOBART ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-4246
Practice Address - Country:US
Practice Address - Phone:480-290-5688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health