Organization Name: | ARIZONA COUNSELING & TREATMENT SERVICES, L.L.C. |
NPI Number: | 1457459091 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRED R COGBURN (CHIEF OPERATING OFFICER) |
Mailing Address: | 2573 S Arizona Ave, Suite G Yuma |
State: | AZ US |
Postal Code: | 85364 |
Phone Number: | 9283760220 |
Fax Number: | 9283760709 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 01/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | BH2771 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |