PALM VIEW HEALTH AND WELLNESS LLC NPI 1457040594

NPI Information

NPI: 1457040594
Provider Name: PALM VIEW HEALTH AND WELLNESS LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 03D2281863

Address:
1616 N LITCHFIELD RD STE A220
GOODYEAR, AZ
ZIP 85395
Phone: (928) 583-4878
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PALM VIEW HEALTH AND WELLNESS LLC is a rehabilitation and substance use disorder clinic center in Goodyear, AZ. PALM VIEW HEALTH AND WELLNESS LLC NPI is 1457040594. The provider is registered as an organization entity type.

The provider's business location address is:

1616 N LITCHFIELD RD STE A220
GOODYEAR, AZ
ZIP 85395-252
Phone: (928) 583-4878

The provider's authorized official is Bryan Hullihen .
The authorized official title is Ceo and has the following contact phone number (928) 583-4878.

The CLIA number assigned to this NPI record is 03D2281863 - other - addiction outpatient with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2023 and was last updated on 5/4/2023.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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

NPI Synchronization or Removal

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