Whalio Doctors

NPI 1043092489

Maricopa Recovery Center LLC

Organisation Psychiatric Hospital Phoenix, AZ

Practice location

Address
1620 N 48th St, Phoenix, AZ 85008-7723
Phone
(424) 200-0004

Authorised official

Name
Ruben Sukiasyan
Title
Authorized Official
Phone
(424) 200-0004

Registered specialties (5)

Psychiatric Hospital Primary
Hospitals Taxonomy 283Q00000X
Case Management Agency
Agencies Taxonomy 251B00000X
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1043092489
Entity type
Organization
NPI issued
19 Oct 2023
Record last updated
20 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.