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RECOVERY INNOVATIONS OF ARIZONA INC NPI 1770718546


NPI Information

NPI: 1770718546
Provider Name: RECOVERY INNOVATIONS OF ARIZONA, INC

Other Name: NORTHERN ARIZONA

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 03D1072824

Address:
365 S MAIN ST
CAMP VERDE, AZ
ZIP 86322
Phone: (928) 567-3834
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RECOVERY INNOVATIONS OF ARIZONA, INC is a community behavioral health in Camp Verde, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. RECOVERY INNOVATIONS OF ARIZONA, INC NPI is 1770718546. The provider is registered as an organization entity type.
The provider Other Name Is Northern Arizona.

The provider's business location address is:

365 S MAIN ST
CAMP VERDE, AZ
ZIP 86322-272
Phone: (928) 567-3834
Fax: (928) 567-8711

The provider's authorized official is Christy Dye .
The authorized official title is Ceo and has the following contact phone number (602) 650-1212.

The CLIA number assigned to this NPI record is 03D1072824 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2009 and was last updated on 5/22/2009.


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
1251S00000XCommunity/Behavioral HealthBH-3261ARIZONAYes

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

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