COMMUNITY SUPPORT SERVICES
Agencies at Country Club Dr, Mesa, AZ

License number
Arizona CSLG7618
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: ARLETTE ITAMI
Title: PRESIDENT/CEO
Phone: (602) 309-4210
Address
Address 2
423 N Country Club Dr SUITE 36, Mesa, AZ 85201
10645 N Tatum Blvd, Phoenix, AZ 85028
National Provider ID: 1578094827
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about COMMUNITY SUPPORT SERVICES at bizstanding.com

COMMUNITY SUPPORT SERVICES, INC

10645 N Tatum Blvd #200-184, Phoenix, AZ 85028

Industry:
Health and Allied Services, Nec, Nsk
Doing business as:
Community Support Services Health Clinic
Registration:
Jan 25, 2011
State ID:
-1654749-1
Expiration:
PERPETUAL
Chief executive officer, President:
Arlette Itami (Chief executive officer, President), 13235 N 68 St, Scottsdale, AZ 85254 (Physical)

COMMUNITY SUPPORT SERVICES HEALTH CLINIC

400 W Camelback, Phoenix, AZ 85013

Status:
Inactive
Inactive reason:
Ad-dissolved-file annual report
Registration:
May 28, 2013
Inactive since:
Nov 10, 2014
State ID:
-1849613-2
Expiration:
PERPETUAL
Director:
Arlette Itami (Director), Director 10645 N Tatum Blvd #200-184, Phoenix, AZ 85028 (Physical)
Agent:
Laura B Draper,4305 E Carter Dr, Phoenix, AZ 85042 (Physical)

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