MILE HIGH DEVELOPERS LLC NPI 1962083543

NPI Information

NPI: 1962083543
Provider Name: MILE HIGH DEVELOPERS LLC

Doing Business As: PHOENIX HOUSE RECOVERY

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
13651 N 32ND ST
PHOENIX, AZ
ZIP 85032
Phone: (928) 899-8585
Get Directions

MILE HIGH DEVELOPERS LLC is an adult mental health clinic center in Phoenix, 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. MILE HIGH DEVELOPERS LLC NPI is 1962083543. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Phoenix House Recovery.

The provider's business location address is:

13651 N 32ND ST
PHOENIX, AZ
ZIP 85032-025
Phone: (928) 899-8585

The provider's authorized official is Joyce Ann Fitzgerald .
The authorized official title is Owner and has the following contact phone number (928) 899-8585.

The enumeration date for this NPI number is 4/15/2021 and was last updated on 8/16/2022.

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	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	251B00000X	Case Management		No
3	251S00000X	Community/Behavioral Health		No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
5	291U00000X	Clinical Medical Laboratory		No
6	324500000X	Substance Abuse Rehabilitation Facility		No
7	261QM0850X	Clinic/Center	Adult Mental Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OTC11873	OTHER	ARIZONA	OUTPATIENT TREATMENT CENTER LICENSE AZDHS
2	092283	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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