Provider Demographics
NPI:1851083786
Name:FOLLOW ONE COURSE UNTIL SUCCESS
Entity Type:Organization
Organization Name:FOLLOW ONE COURSE UNTIL SUCCESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KENDRICKS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:585-317-4586
Mailing Address - Street 1:2450 W GLENROSA AVE UNIT 24
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-4989
Mailing Address - Country:US
Mailing Address - Phone:585-317-4586
Mailing Address - Fax:
Practice Address - Street 1:2450 W GLENROSA AVE UNIT 24
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-4989
Practice Address - Country:US
Practice Address - Phone:585-317-4586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health