Healthcare Provider Details

I. General information

NPI: 1922945591
Provider Name (Legal Business Name): ROCK VIEW RECOVERY II, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20325 N 51ST AVE STE 100
GLENDALE AZ
85308-5665
US

IV. Provider business mailing address

3120 W CAREFREE HWY STE 1-634
PHOENIX AZ
85086-3201
US

V. Phone/Fax

Practice location:
  • Phone: 818-455-5003
  • Fax:
Mailing address:
  • Phone: 818-455-5003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RYAN ROSS
Title or Position: ADMINISTRATOR
Credential:
Phone: 818-455-5003