Organization · Type 2 NPI

BBC Whitton LLC

Substance Abuse Rehabilitation Facility · Phoenix, AZ

NPI number 1891283149 Active

Practice location

1106 E Whitton Ave
Phoenix, AZ 85014-5053

Call (602) 626-8112 Map

Fax (602) 875-0242

Mailing address

3030 N Central Ave Ste 506
Phoenix, AZ 85012-2825

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	BH5269 (AZ)

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 individuals with disorders in the abuse of drugs, alcohol, and other substances.

Another provider at this address

William KenarProfessional Counselor Phoenix, AZ NPI 1841143385

Other substance abuse rehabilitation facility providers in Phoenix

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NPI record

NPI: 1891283149
Entity type: Organization (Type 2)
Issued: Apr 23, 2018
Last updated: Oct 23, 2026
Status: Active

Other names

<unavail>
Axiom Care Whitton · doing business as
BBC Midtown · doing business as

Authorized official

Qiana Michele Mayberry
Credentialing Specialist
(480) 409-3479

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.

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About NPI 1891283149

BBC Whitton LLC's National Provider Identifier is 1891283149, issued on Apr 23, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 23, 2026.