Arizona Treatment Institute, Llc. | |
1927 N Trekell Rd Suite D Casa Grande AZ 85222-1762 | |
(520) 836-9788 | |
(520) 876-4603 |
Full Name | Arizona Treatment Institute, Llc. |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1927 N Trekell Rd, Casa Grande, Arizona |
Authorized Official Name and Position | Donald T. Nichols (CEO) |
Authorized Official Contact | 5208369788 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Arizona Treatment Institute, Llc. 1927 N Trekell Rd Suite D Casa Grande AZ 85222-1762 Ph: (520) 836-9788 | Arizona Treatment Institute, Llc. 1927 N Trekell Rd Suite D Casa Grande AZ 85222-1762 Ph: (520) 836-9788 |
NPI Number | 1770704926 |
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Provider Enumeration Date | 05/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770704926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC 11603 (Arizona) | Primary |
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