SCOTTSDALE PROVIDENCE RECOVERY CENTER NPI 1740641612

NPI Information

NPI: 1740641612
Provider Name: SCOTTSDALE PROVIDENCE RECOVERY CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
8889 E VIA LINDA
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 284-7440
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SCOTTSDALE PROVIDENCE RECOVERY CENTER is a rehabilitation and substance use disorder clinic center in Scottsdale, AZ. SCOTTSDALE PROVIDENCE RECOVERY CENTER NPI is 1740641612. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8889 E VIA LINDA
SCOTTSDALE, AZ
ZIP 85258-420
Phone: (480) 284-7440
Fax: (480) 284-4178

The provider's authorized official is Daniel Joseph Nichols .
The authorized official title is Clinical Director and has the following contact phone number (480) 284-7440.

The enumeration date for this NPI number is 3/18/2016 and was last updated on 1/23/2020.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	BH4837	ARIZONA	No
2	101YM0800X	Counselor	Mental Health	BH4837	ARIZONA	No
3	1041C0700X	Social Worker	Clinical	BH4837	ARIZONA	No
4	261QM0850X	Clinic/Center	Adult Mental Health	BH4837	ARIZONA	No
5	261QM1300X	Clinic/Center	Multi-Specialty	BH4837	ARIZONA	No
6	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	BH4837	ARIZONA	Yes
7	320800000X	Community Based Residential Treatment Facility, Mental Illness		BH4837	ARIZONA	No
8	324500000X	Substance Abuse Rehabilitation Facility		BH4837	ARIZONA	No

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

NPI Synchronization or Removal

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