| Organization Name: | FSL PROGRAMS |
| NPI Number: | 1861521528 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNETTE INIGUEZ (EXEC ASST) |
| Mailing Address: | 3609 Crossings Dr Suite A Prescott |
| State: | AZ US |
| Postal Code: | 863057133 |
| Phone Number: | 9284435546 |
| Fax Number: | 9284435547 |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |