Provider Demographics
NPI:1801127378
Name:JUSTICE SERVICE HOLDINGS, LLC
Entity type:Organization
Organization Name:JUSTICE SERVICE HOLDINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSBURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-237-7158
Mailing Address - Street 1:7447 E EARLL DR
Mailing Address - Street 2:103
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-7953
Mailing Address - Country:US
Mailing Address - Phone:480-237-7158
Mailing Address - Fax:480-237-7159
Practice Address - Street 1:7447 E EARLL DR
Practice Address - Street 2:101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-7953
Practice Address - Country:US
Practice Address - Phone:480-949-8871
Practice Address - Fax:480-949-9723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-23
Last Update Date:2010-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH-1652251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management