Healthcare Provider Details

I. General information

NPI: 1891667978
Provider Name (Legal Business Name): AMERICA INTERLOCK TECHNOLOGIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2025
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4539 N 22ND ST STE 5327
PHOENIX AZ
85016-4639
US

IV. Provider business mailing address

PO BOX 146
WINDSOR CO
80550-0146
US

V. Phone/Fax

Practice location:
  • Phone: 855-755-5200
  • Fax: 855-755-5200
Mailing address:
  • Phone: 855-755-5200
  • Fax: 855-755-5200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0800X
TaxonomyRecovery Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID C JONES
Title or Position: PRESIDENT
Credential:
Phone: 855-755-5200