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NEW CASA DE AMIGAS NPI 1427154368


NPI Information

NPI: 1427154368
Provider Name: NEW CASA DE AMIGAS
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1648 W COLTER ST # 8
PHOENIX, AZ
ZIP 85015
Phone: (602) 265-9987
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NEW CASA DE AMIGAS is a substance abuse rehabilitation facility in Phoenix, 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. NEW CASA DE AMIGAS NPI is 1427154368. The provider is registered as an organization entity type.

The provider's business location address is:

1648 W COLTER ST # 8
PHOENIX, AZ
ZIP 85015-022
Phone: (602) 265-9987
Fax: (602) 265-9983

The provider's authorized official is Kenneth Lyle Fox .
The authorized official title is Executive Director and has the following contact phone number (602) 265-9987.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 8/22/2020.


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
1324500000XSubstance Abuse Rehabilitation FacilityBH 1611ARIZONAYes

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: 5/5/2024

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