Healthcare Provider Details

I. General information

NPI: 1194368852
Provider Name (Legal Business Name): RELIEVE MEDICAL DETOX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2019
Last Update Date: 08/17/2020
Certification Date: 08/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7281 E EARLL DR STE A4
SCOTTSDALE AZ
85251-7213
US

IV. Provider business mailing address

7283 E EARLL DR BUILDING B SUITE 1
SCOTTSDALE AZ
85251
US

V. Phone/Fax

Practice location:
  • Phone: 480-549-2220
  • Fax:
Mailing address:
  • Phone: 480-549-2220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MELANIE FRENCH
Title or Position: DIRECTOR OF NURSING AND OPERATIONS
Credential: RN
Phone: 480-549-2220