SOUL SURGERY 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. SOUL SURGERY LLC NPI is 1871026674. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
14362 N. FRANK LLOYD WRIGHT
#B111
SCOTTSDALE, AZ
ZIP 85260
Phone: (480) 912-3105
Fax: (480) 912-3106
The provider's authorized official is Regina Shakespeare .
The authorized official title is Billing Compliance Officer and has the following contact phone number (928) 554-5633.
The CLIA number assigned to this NPI record is 03D2193825 - other - resid, treatment fac with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/7/2017 and was last updated on 1/31/2020.