Provider Demographics
NPI:1154574150
Name:POSITIVE OPTIONS, INC.
Entity type:Organization
Organization Name:POSITIVE OPTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:H
Authorized Official - Last Name:KASNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:928-778-2925
Mailing Address - Street 1:141 S MCCORMICK ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86303-4729
Mailing Address - Country:US
Mailing Address - Phone:928-778-2925
Mailing Address - Fax:602-357-4399
Practice Address - Street 1:141 S MCCORMICK ST
Practice Address - Street 2:SUITE 103
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86303-4729
Practice Address - Country:US
Practice Address - Phone:928-778-2925
Practice Address - Fax:602-357-4399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty