| The Potter's House Substance Abuse Center | |
|
1717 W Northern Ave Ste 101 Phoenix AZ 85021-5400 | |
| (602) 254-9701 | |
| (602) 252-0830 |
| Full Name | The Potter's House Substance Abuse Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1717 W Northern Ave Ste 101, Phoenix, Arizona |
| Authorized Official Name and Position | Sheena Rosette Jones (VICE PRESIDENT) |
| Authorized Official Contact | 6022549701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Potter's House Substance Abuse Center 1717 W Northern Ave Ste 101 Phoenix AZ 85021-5400 Ph: (602) 254-9701 | The Potter's House Substance Abuse Center 1717 W Northern Ave Ste 101 Phoenix AZ 85021-5400 Ph: (602) 254-9701 |
| NPI Number | 1225147960 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 10/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225147960 | NPI | - | NPPES |
| 1225147960 | Other | AZ | NPI |
| 004477 | Medicaid | AZ |
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