Organization · Type 2 NPI

Country Health Care

Children's Substance Abuse Rehabilitation Facility · Phoenix, AZ

NPI number 1356147128 Active

Practice location

4444 N 25th St Unit 43
Phoenix, AZ 85016-5645

Mailing address

PO Box 11077
Tempe, AZ 85284-0018

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XNone listed

Children's Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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About NPI 1356147128

Country Health Care's National Provider Identifier is 1356147128, issued on Feb 21, 2025. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 21, 2025.