Healthcare Provider Details

I. General information

NPI: 1205760477
Provider Name (Legal Business Name): ALERA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5115 W APOLLO RD
LAVEEN AZ
85339-6910
US

IV. Provider business mailing address

5115 W APOLLO RD
LAVEEN AZ
85339-6910
US

V. Phone/Fax

Practice location:
  • Phone: 858-774-9054
  • Fax: 858-774-9054
Mailing address:
  • Phone: 858-774-9054
  • Fax: 858-774-9054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: LYDIA I NJERI
Title or Position: ADMINISTRATOR
Credential:
Phone: 858-774-9054