Organization · NPI-2

Az Compassionate Care Behavioral & Wellness Clinic LLC

Community/Behavioral Health · Phoenix, AZ

NPI number1891490876

StatusActive

Last updated in NPPESMay 7, 2025

Details

NPI: 1891490876
Entity type: Organization (NPI-2)
Legal business name: Az Compassionate Care Behavioral & Wellness Clinic LLC
Organization subpart: No
Enumeration date: Mar 31, 2023
Certification date: May 7, 2025
Last updated: May 7, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251S00000X	Community/Behavioral Health	–	–	Yes
174200000X	Meals	–	–
177F00000X	Lodging	–	–
251B00000X	Case Management	–	–
251C00000X	Day Training, Developmentally Disabled Services	–	–
251V00000X	Voluntary or Charitable	–	–
261QC1500X	Clinic/Center, Community Health	–	–
261QD1600X	Clinic/Center, Developmental Disabilities	–	–
261QH0100X	Clinic/Center, Health Services	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–
261QP2300X	Clinic/Center, Primary Care	–	–
261QR0405X	Clinic/Center, Rehabilitation, Substance Use Disorder	–	–
261QR0800X	Clinic/Center, Recovery Care	–	–

Practice location

15640 N 7th St Ste A1
Phoenix, AZ 85022-3520

Phone 602-858-0191 · Fax 602-858-0140

Mailing address

15640 N 7th St Ste A1
Phoenix, AZ 85022-3520

Phone 602-858-0191 · Fax 602-858-0140

Authorized official

King William
Ceo
4804587350

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