Provider Demographics
NPI:1952509895
Name:BILTMORE EVALUATION & TREATMENT SERVICES
Entity Type:Organization
Organization Name:BILTMORE EVALUATION & TREATMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:TOMA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:602-957-8822
Mailing Address - Street 1:2345 EAST THOMAS RD
Mailing Address - Street 2:SUITE 275
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016
Mailing Address - Country:US
Mailing Address - Phone:602-957-8822
Mailing Address - Fax:602-957-0777
Practice Address - Street 1:2345 EAST THOMAS RD
Practice Address - Street 2:SUITE 275
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016
Practice Address - Country:US
Practice Address - Phone:602-957-8822
Practice Address - Fax:602-957-0777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3197103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty