Blue Sage Chandler

NPI #1306532015 in Chandler, Arizona

Provider Information

NPI Number: 1306532015
Entity Type: Organization
Organization Name: Blue Sage Chandler
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Apr 14, 2023
Last Updated: Apr 14, 2023

Practice Location

Address: 155 E RAY RD STE 1-4
City: Chandler
State: Arizona
ZIP Code: 85225-3303
Phone: (480) 912-9856

Authorized Official

Name: BRANDON THOMS
Title: OWNER
Phone: (715) 604-2209

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Community/Behavioral Health	251S00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Non-emergency Medical Transport (VAN)	343900000X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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