Organization · Type 2 NPI
Community Medical Services Arizona-Private, LLC
Methadone Clinic · Lake Havasu City, AZ
NPI number
1700597499
Active
Practice location
329 Lake Havasu Ave S
Lake Havasu City, AZ 86403-9368
Fax (928) 302-3615
Mailing address
8444 N 90th St Ste 100
Scottsdale, AZ 85258-4437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Methadone Clinic Primary | 261QM2800X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Another provider at this address
Other methadone clinic providers in Lake Havasu City
About NPI 1700597499
Community Medical Services Arizona-Private, LLC's National Provider Identifier is 1700597499, issued on Dec 13, 2022. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Feb 10, 2024.