NATIONAL COUNCIL ON ALCOHOLISM GREATER PHOENIX AREA NPI 1437195906

NPI Information

  • NPI: 1437195906
  • Provider Name: NATIONAL COUNCIL ON ALCOHOLISM GREATER PHOENIX AREA
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 4201 N 16TH ST
    SUITE 140
    PHOENIX, AZ
    ZIP 85016
  • Phone: (602) 264-6214

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NPI Details

NATIONAL COUNCIL ON ALCOHOLISM GREATER PHOENIX AREA is a mental health (including community mental health center) clinic center in Phoenix, AZ. NATIONAL COUNCIL ON ALCOHOLISM GREATER PHOENIX AREA NPI is 1437195906. The provider is registered as an organization entity type.

The provider's business location address is:

4201 N 16TH ST
SUITE 140
PHOENIX, AZ
ZIP 85016-347
Phone: (602) 264-6214
Fax: (602) 265-2102

The provider's authorized official is Linda Koziba .
The authorized official title is Cfo and has the following contact phone number (602) 264-6214.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 10/24/2011.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)BH1887ARIZONAYes

What is NPI?

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

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