Phoenix House Recovery

LBN: Mile High Developers Llc
Phoenix House Recovery is an health care organization with primary practice located at 13651 N 32Nd St , Phoenix AZ 85032-6025. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Laboratories / Clinical Medical Laboratory, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Mile High Developers Llc can be contacted via phone (928) 899-8585, or through Fitzgerald, Joyce Ann via phone (928) 899-8585.

Contact Information

Primary practice address
13651 N 32Nd St Phoenix AZ 85032-6025
Phone: (928) 899-8585
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fitzgerald, Joyce Ann
Phone: (928) 899-8585

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Laboratories / Clinical Medical Laboratory 291U00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1962083543
LBN Legal business name Mile High Developers Llc
DBA Doing business as Phoenix House Recovery
Authorized official Fitzgerald, Joyce Ann
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2021
Last updated Aug 16th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962083543 NPPES
Arizona Other OTC11873 OUTPATIENT TREATMENT CENTER LICENSE AZDHS
Arizona MEDICAID 092283 OUTPATIENT TREATMENT CENTER LICENSE AZDHS

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