NPI 1043994452
Phoenix Residential Treatment Center
Practice location
- Address
- 9312 W Happy Valley Rd, Peoria, AZ 85383-1262
- Phone
- (833) 988-4025
- Mailing address
- 4527 N 16th St STE 200, Phoenix, AZ 85016-5354
Authorised official
- Name
- Christopher Newman
- Title
- Coo
- Phone
- (760) 835-7562
Registered specialties (2)
Psychiatric Residential Treatment Facility
Primary
Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1043994452
- Entity type
- Organization
- NPI issued
- 14 Jun 2023
- Record last updated
- 14 Jun 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.