JADA THERAPY PLLC NPI 1124772975

NPI Information

JADA THERAPY PLLC is an addiction medicine preventive medicine in Flagstaff, AZ. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. JADA THERAPY PLLC NPI is 1124772975. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2724 E LAKIN DR STE 7
FLAGSTAFF, AZ
ZIP 86004-900
Phone: (928) 440-4786

The provider's authorized official is Albaro J Rodriguez .
The authorized official title is Program Director and has the following contact phone number (928) 440-4786.

The enumeration date for this NPI number is 2/10/2022 and was last updated on 2/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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