Healthcare Provider Details

I. General information

NPI: 1770732885
Provider Name (Legal Business Name): CALVARY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2008
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 E MONTEBELLO AVE BLDG I
PHOENIX AZ
85014-2543
US

IV. Provider business mailing address

720 E MONTEBELLO AVE BLDG I
PHOENIX AZ
85014-2543
US

V. Phone/Fax

Practice location:
  • Phone: 602-279-1468
  • Fax: 602-279-3090
Mailing address:
  • Phone: 602-279-1468
  • Fax: 615-312-5711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL D MCFARLAND
Title or Position: CEO
Credential: LMSW
Phone: 602-279-1468