Organization · Type 2 NPI
Phoenix Pain Treatment Center
Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
NPI number
1164690160
Active
Practice location
3124 E Roosevelt St # D-2
Phoenix, AZ 85008-5088
Fax (602) 244-9222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LISAC-10277 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1164690160
Phoenix Pain Treatment Center's National Provider Identifier is 1164690160, issued on Feb 13, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 13, 2008.