Arizona Integrated Care Services
Community/Behavioral Health in Surprise, AZ. Organization (NPI-2).
NPI number1114871258
StatusActive
Last updated in NPPESFeb 25, 2026
Details
- NPI
- 1114871258
- Entity type
- Organization (NPI-2)
- Legal business name
- Arizona Integrated Care Services
- Organization subpart
- No
- Enumeration date
- Feb 25, 2026
- Certification date
- Feb 25, 2026
- Last updated
- Feb 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 251X00000X | Supports Brokerage | – | – |
Practice location
15015 W Bell Rd Ste 102Surprise, AZ 85374-3248
Phone 678-661-1266
Mailing address
14037 N 153rd DrSurprise, AZ 85379-8038
Phone 623-299-5621
Authorized official
Jeremy Lawrence
Executive Director
6786611266
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