Organization · NPI-2
Westcare Arizona I, INC.
Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children · Bullhead City, AZ
NPI number1679800106
StatusActive
Last updated in NPPESNov 4, 2009
Details
- NPI
- 1679800106
- Entity type
- Organization (NPI-2)
- Legal business name
- Westcare Arizona I, INC.
- Organization subpart
- No
- Enumeration date
- Nov 4, 2009
- Last updated
- Nov 4, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | BH-3423 | AZ | Yes |
Other names
- Sage House (Doing Business As)
Practice location
1800 Rio Vista DrBullhead City, AZ 86442-7229
Phone 928-758-0603 · Fax 928-758-0609
Mailing address
821 Hancock Rd Ste 2Bullhead City, AZ 86442-5034
Phone 928-763-1945 · Fax 928-763-5157
Authorized official
Tracy Stevens
Area Director
9287631945
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.