Organization · Type 2 NPI

Ahwatukee Health Care, LLC

Substance Use Disorder Rehabilitation Clinic/Center · Phoenix, AZ

NPI number 1780458687 Active

Practice location

16515 S 40th St Ste 119
Phoenix, AZ 85048-0559

Call (480) 272-8450 Map

Fax (480) 272-8307

Other practice locations

34225 N 27th Dr Ste 146, Phoenix, AZ 85085-6090 · (480) 272-8450
12691 W Smokey Dr Ste 127, Surprise, AZ 85378-3801 · (480) 272-8450

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

4 other providers at this address

Other substance use disorder rehabilitation clinic/center providers in Phoenix

See all in Phoenix →

NPI record

NPI: 1780458687
Entity type: Organization (Type 2)
Issued: Nov 10, 2023
Last updated: Mar 19, 2025
Status: Active

Other names

<unavail>
Ahwatukee Behavioral Health and Wellness · doing business as
Ahwatukee Behavioral Health and Wellness · doing business as

Authorized official

Jaime Bogovich
Operations Manager
(518) 698-3757

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1780458687

Ahwatukee Health Care, LLC's National Provider Identifier is 1780458687, issued on Nov 10, 2023. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 19, 2025.