Provider Demographics
NPI:1902331424
Name:SCOTT FOUNDATION
Entity Type:Organization
Organization Name:SCOTT FOUNDATION
Other - Org Name:SCOTT FOUNDATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER, PRESIDENT & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WALSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-688-9800
Mailing Address - Street 1:PO BOX 4927
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85327-4927
Mailing Address - Country:US
Mailing Address - Phone:480-688-9800
Mailing Address - Fax:
Practice Address - Street 1:29628 N 48TH ST
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-3869
Practice Address - Country:US
Practice Address - Phone:480-688-9800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health