Provider Demographics
NPI:1255636577
Name:NATIONAL TRAFFIC SAFETY INSTITUTE
Entity type:Organization
Organization Name:NATIONAL TRAFFIC SAFETY INSTITUTE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RANDI
Authorized Official - Middle Name:S
Authorized Official - Last Name:BELLASSAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-547-2500
Mailing Address - Street 1:177 N CHURCH AVE STE 610
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85701-1118
Mailing Address - Country:US
Mailing Address - Phone:520-547-2500
Mailing Address - Fax:520-622-8461
Practice Address - Street 1:177 N CHURCH AVE STE 610
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85701-1118
Practice Address - Country:US
Practice Address - Phone:520-547-2500
Practice Address - Fax:520-622-8461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH3745251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health