DHHS IHS PHOENIX AREA NPI 1104195353

NPI Information

  • NPI: 1104195353
  • Provider Name: DHHS IHS PHOENIX AREA
  • Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
  • Specialization: Substance Abuse Treatment, Children
  • Entity Type: Organization
  • Doing Business As: DESERT VISIONS YOUTH WELLNESS CENTE
  • Address: 198 S SKILL CENTER RD
    SACATON, AZ
    ZIP 85247
  • Phone: (888) 431-4096

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NPI Details

DHHS IHS PHOENIX AREA is a substance abuse treatment and children substance abuse rehabilitation facility in Sacaton, AZ. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. DHHS IHS PHOENIX AREA NPI is 1104195353. The provider is registered as an organization entity type.
The provider Is Doing Business As Desert Visions Youth Wellness Cente.

The provider's business location address is:

198 S SKILL CENTER RD
SACATON, AZ
ZIP 85247
Phone: (888) 431-4096

The provider's authorized official is Holly Elliott .
The authorized official title is Chief Executive Officer and has the following contact phone number (888) 431-4096.

The enumeration date for this NPI number is 12/16/2011 and was last updated on 12/16/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

What is NPI?

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This page was last updated on: 3/30/2025

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