| Tasc, Inc. | |
|
2080 Acoma Blvd W Suite A Lake Havasu City AZ 86403-2971 | |
| (928) 753-9678 | |
| (602) 712-0235 |
| Full Name | Tasc, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2080 Acoma Blvd W, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Douglas K Kramer (CEO) |
| Authorized Official Contact | 6022547328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tasc, Inc. 2234 N 7th St Phoenix AZ 85006-1651 Ph: (602) 254-7328 | Tasc, Inc. 2080 Acoma Blvd W Suite A Lake Havasu City AZ 86403-2971 Ph: (928) 753-9678 |
| NPI Number | 1386033124 |
|---|---|
| Provider Enumeration Date | 01/16/2015 |
| Last Update Date | 01/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386033124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | OTC6030 (Arizona) | Primary |
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