SALUS SANCTUARY LLC NPI 1417896796

NPI Information

  • NPI: 1417896796
  • Provider Name: SALUS SANCTUARY LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 9336 E RAINTREE DR # 103
    SCOTTSDALE, AZ
    ZIP 85260
  • Phone: (602) 935-1310

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NPI Details

SALUS SANCTUARY LLC is a mental health (including community mental health center) clinic center in Scottsdale, AZ. SALUS SANCTUARY LLC NPI is 1417896796. The provider is registered as an organization entity type.

The provider's business location address is:

9336 E RAINTREE DR # 103
SCOTTSDALE, AZ
ZIP 85260-322
Phone: (602) 935-1310

The provider's authorized official is Ian-chase Omotoso .
The authorized official title is Managing Member and has the following contact phone number (310) 654-7946.

The enumeration date for this NPI number is 3/25/2026 and was last updated on 3/25/2026.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/21/2025

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