Healthcare Provider Details
I. General information
NPI: 1578170999
Provider Name (Legal Business Name): ARIZONA CENTER FOR RECOVERY- A NEW DIRECTION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/29/2020
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2491 W JEFFERSON RD
ELFRIDA AZ
85610
US
IV. Provider business mailing address
2942 N 24TH ST STE 115
PHOENIX AZ
85016-7849
US
V. Phone/Fax
- Phone: 866-986-2550
- Fax: 855-275-5428
- Phone: 866-986-2550
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAURA
FEDELE
Title or Position: CEO
Credential:
Phone: 512-318-0558