Community Provider Of Enrichment Services, Inc.

NPI 1063604973 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1063604973
Enumeration Date 08/14/2007
Last Updated 08/20/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROGER A. ROGER
Position CEO
Phone (520) 884-7954
Fax (520) 884-0383
Practice Location
2020 N FORBES BLVD STE 105
TUCSON AZ, 85745-1415, US
Phone (520) 884-7954
Fax (520) 884-0383
Business Location
4825 N SABINO CANYON RD
TUCSON AZ, 85750-6427, US
Phone (520) 884-7954
Fax (520) 884-0383
Toxanomy
Taxonomy Code 251S00000X
License State Arizona
License Number BH-687
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According to our database, Community Provider Of Enrichment Services, Inc. NPI is 1063604973, taxonomy code is 251S00000X and license number is BH-687, license state is located at Arizona. Community Provider Of Enrichment Services, Inc. physically located at 2020 N Forbes Blvd Ste 105, Tucson AZ, 85745-1415. NPI Number 1033115704 has the healthcare provider type.

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1063604973 NPI number is provided on an as is basis without warranty of any kind. 1063604973 is maintained by the National Plan & Provider Enumeration System. The contents of Community Provider Of Enrichment Services, Inc. are for informational purposes only.