Organization · NPI-2

Addiction Recovery Centers, LLC

Psychiatry & Neurology, Addiction Medicine · Phoenix, AZ

NPI number1437525797

StatusActive

Last updated in NPPESMay 2, 2017

Details

NPI: 1437525797
Entity type: Organization (NPI-2)
Legal business name: Addiction Recovery Centers, LLC
Organization subpart: No
Enumeration date: Aug 20, 2015
Last updated: May 2, 2017

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2084A0401X	Psychiatry & Neurology, Addiction Medicine	–	–	Yes
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
207LA0401X	Anesthesiology, Addiction Medicine	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
207QA0401X	Family Medicine, Addiction Medicine	–	–

Practice location

3724 N 3rd St
Ste 201
Phoenix, AZ 85012-2034

Phone 480-331-4540

Mailing address

425 E 11th Ave
Mesa, AZ 85204-4905

Phone 480-205-9447

Authorized official

James Sieffert
Manger
4803314540

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