Provider Demographics
NPI:1306294046
Name:REFLECTION FAMILY SERVICES INC.
Entity type:Organization
Organization Name:REFLECTION FAMILY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STOE-BEDOYA
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:520-631-0183
Mailing Address - Street 1:2530 E BROADWAY BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-5334
Mailing Address - Country:US
Mailing Address - Phone:520-795-0981
Mailing Address - Fax:520-795-0924
Practice Address - Street 1:2530 E BROADWAY BLVD STE A
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-5334
Practice Address - Country:US
Practice Address - Phone:520-795-0981
Practice Address - Fax:520-795-0924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCSLG6160251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health