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ARIZONA RECOVERY CENTER INC NPI 1699238279


NPI Information

NPI: 1699238279
Provider Name: ARIZONA RECOVERY CENTER, INC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 03D2208096

Address:
84 ACOMA BLVD N STE 104
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 351-3030
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ARIZONA RECOVERY CENTER, INC is a rehabilitation and substance use disorder clinic center in Lake Havasu City, AZ. ARIZONA RECOVERY CENTER, INC NPI is 1699238279. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

84 ACOMA BLVD N STE 104
LAKE HAVASU CITY, AZ
ZIP 86403-096
Phone: (928) 351-3030

The provider's authorized official is Emily Vona .
The authorized official title is Nurse Practitoner/owner and has the following contact phone number (289) 733-5101.

The CLIA number assigned to this NPI record is 03D2208096 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2019 and was last updated on 1/15/2021.


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
1363L00000XNurse PractitionerNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 4/28/2024

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.