03D2121211 CLIA NUMBER - Fountain Hills Recovery

Laboratory Demographics

CLIA Number: 03D2121211

Facility Name: Fountain Hills Recovery

Facility Address:
16872 E Avenue Of The Fountains, Ste 204,
Fountain Hills, AZ
ZIP 85268
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Facility Phone Number: (800) 715-2004

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1245772482

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
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.

CLIA Record

Field Name	Field Value
CLIA Number	03D2121211
LAB Type	PHYSICIAN OFFICE
Facility Name	Fountain Hills Recovery
Street	16872 E Avenue Of The Fountains, Ste 204,
City	Fountain Hills
State	AZ
ZIP	85268
Phone	8007152004

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This page was last updated on: 5/19/2019