Healthcare Provider Details

I. General information

NPI: 1497241079
Provider Name (Legal Business Name): SAGUARO TREATMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2018
Last Update Date: 07/20/2021
Certification Date: 07/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5533 E. BELL RD #111
SCOTTSDALE AZ
85254
US

IV. Provider business mailing address

5533 E. BELL RD SUITE 111
SCOTTSDALE AZ
85254
US

V. Phone/Fax

Practice location:
  • Phone: 602-334-1080
  • Fax: 602-788-4208
Mailing address:
  • Phone: 602-334-1080
  • Fax: 602-788-4208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JUSTIN P. PIERCE
Title or Position: OWNER
Credential: D.C.
Phone: 602-334-1080