Provider Demographics
NPI:1518376219
Name:CORSINI ENTERPRISES INC
Entity type:Organization
Organization Name:CORSINI ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CORSINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-847-7887
Mailing Address - Street 1:24421 34TH AVE E
Mailing Address - Street 2:
Mailing Address - City:SPANAWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98387-9395
Mailing Address - Country:US
Mailing Address - Phone:253-847-7887
Mailing Address - Fax:866-823-7887
Practice Address - Street 1:24421 34TH AVE E
Practice Address - Street 2:
Practice Address - City:SPANAWAY
Practice Address - State:WA
Practice Address - Zip Code:98387-9395
Practice Address - Country:US
Practice Address - Phone:253-847-7887
Practice Address - Fax:866-823-7887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management