NPI 1104286418
Phoenix Vamc
Practice location
- Address
- 650 E Indian School Rd, Phoenix, AZ 85012-1839
- Phone
- (702) 341-3152
- Mailing address
- PO Box 94413, Cleveland, OH 44101-4413
Authorised official
- Name
- Erin Potter
- Title
- Npi Team Member
- Phone
- (202) 382-2579
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1104286418
- Entity type
- Organization
- NPI issued
- 29 Feb 2016
- Record last updated
- 1 Nov 2017
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.