Faithland Recovery Center LLC
Substance Abuse Rehabilitation Facility in Glendale, AZ. Organization (NPI-2).
Details
- NPI
- 1821787631
- Entity type
- Organization (NPI-2)
- Legal business name
- Faithland Recovery Center LLC
- Organization subpart
- No
- Enumeration date
- May 8, 2023
- Certification date
- Jul 25, 2025
- Last updated
- Jul 25, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 101Y00000X | Counselor | – | – | |
| 106S00000X | Behavior Technician | – | – | |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
4425 W Olive Ave Ste 140Glendale, AZ 85302-3844
Phone 626-376-2975 · Fax 602-532-7662
Mailing address
4425 W Olive Ave Ste 140Glendale, AZ 85302-3844
Phone 626-376-2975 · Fax 602-532-7662
Authorized official
Semi Anthony
Owner
6263762975
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.
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All 15 Substance Abuse Rehabilitation Facility providers in Glendale · All 7,642 providers in Glendale
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