Provider Demographics
NPI:1982299699
Name:INTENSIVE TREATMENT SYSTEMS LLC
Entity Type:Organization
Organization Name:INTENSIVE TREATMENT SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-996-0110
Mailing Address - Street 1:19401 N CAVE CREEK RD STE 18
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-1825
Mailing Address - Country:US
Mailing Address - Phone:602-996-0110
Mailing Address - Fax:
Practice Address - Street 1:340 W UNIVERSITY DR STE 19
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-5827
Practice Address - Country:US
Practice Address - Phone:602-666-1910
Practice Address - Fax:602-666-1915
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTENSIVE TREATMENT SYSTEMS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health