PINNACLE PEAK RECOVERY LLC NPI 1780201772

NPI Information

PINNACLE PEAK RECOVERY, LLC is a substance abuse rehabilitation facility in Scottsdale, 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. PINNACLE PEAK RECOVERY, LLC NPI is 1780201772. The provider is registered as an organization entity type.

The provider's business location address is:

8070 E MORGAN TRL STE 125
SCOTTSDALE, AZ
ZIP 85258-228
Phone: (480) 430-6744

The provider's authorized official is Tyler Tisdale .
The authorized official title is Founder and has the following contact phone number (480) 750-1200.

The CLIA number assigned to this NPI record is 03D2277315 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2020 and was last updated on 6/25/2020.

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:

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