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WINR WOMEN IN NEW RECOVERY NPI 1669781324


NPI Information

NPI: 1669781324
Provider Name: WINR WOMEN IN NEW RECOVERY

Doing Business As: AMAZING RECOVERY

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
860 N CENTER ST
MESA, AZ
ZIP 85201
Phone: (480) 464-5764
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WINR WOMEN IN NEW RECOVERY is a substance abuse rehabilitation facility in Mesa, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. WINR WOMEN IN NEW RECOVERY NPI is 1669781324. The provider is registered as an organization entity type.
The provider Is Doing Business As Amazing Recovery.

The provider's business location address is:

860 N CENTER ST
MESA, AZ
ZIP 85201-201
Phone: (480) 464-5764
Fax: (480) 834-5372

The provider's authorized official is Patricia Henderson .
The authorized official title is Ceo and has the following contact phone number (480) 464-5764.

The enumeration date for this NPI number is 9/29/2010 and was last updated on 5/3/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityBH-3591ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1160168MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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