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AWAKENING RECOVERY CENTER NPI 1447712120


NPI Information

NPI: 1447712120
Provider Name: AWAKENING RECOVERY CENTER
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
293 W 5TH ST
SAFFORD, AZ
ZIP 85546
Phone: (928) 428-8070
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AWAKENING RECOVERY CENTER is a substance abuse rehabilitation facility in Safford, 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. AWAKENING RECOVERY CENTER NPI is 1447712120. The provider is registered as an organization entity type.

The provider's business location address is:

293 W 5TH ST
SAFFORD, AZ
ZIP 85546-324
Phone: (928) 428-8070
Fax: (480) 404-9716

The provider's authorized official is Scott Richard Payne .
The authorized official title is Owner/clinical Director and has the following contact phone number (480) 209-1977.

The enumeration date for this NPI number is 4/2/2019 and was last updated on 6/11/2019.


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 FacilityYes

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
1237605MEDICAIDARIZONA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.