NPI: 1861070260
Provider Name: PERFORMANCE INTENSIVE OUTPATIENT, LLC
Doing Business As: PERFORMANCE IOP, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization
Specialization: Adult Mental Health
Address:
9525 E DOUBLETREE RANCH RD STE 105
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 588-3745
Get Directions
PERFORMANCE INTENSIVE OUTPATIENT, LLC is an adult mental health clinic center in Scottsdale, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PERFORMANCE INTENSIVE OUTPATIENT, LLC NPI is 1861070260. The provider is registered as an organization entity type.
The provider Is Doing Business As Performance Iop, Llc.
The provider's business location address is:
9525 E DOUBLETREE RANCH RD STE 105
SCOTTSDALE, AZ
ZIP 85258-538
Phone: (480) 588-3745
The provider's authorized official is Benjamin Tyler Terrusa .
The authorized official title is Member/chief Administrative Officer and has the following contact phone number (818) 251-0123.
The enumeration date for this NPI number is 3/30/2021 and was last updated on 6/26/2021.