Dhhs Ihs Phoenix Area

NPI #1104195353 in Sacaton, Arizona

Provider Information

NPI Number: 1104195353
Entity Type: Organization
Organization Name: Dhhs Ihs Phoenix Area
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Dec 16, 2011
Last Updated: Dec 16, 2011

Practice Location

Address: 198 S SKILL CENTER RD
City: Sacaton
State: Arizona
ZIP Code: 85247
Phone: (888) 431-4096

Authorized Official

Name: HOLLY ELLIOTT
Title: CHIEF EXECUTIVE OFFICER
Phone: (888) 431-4096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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