Healthcare Provider Details

I. General information

NPI: 1902142565
Provider Name (Legal Business Name): DESERT COVE RECOVERY CENTER L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2012
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8035 N 85TH WAY
SCOTTSDALE AZ
85258-4321
US

IV. Provider business mailing address

7500 N DREAMY DRAW DR STE 205
PHOENIX AZ
85020-4669
US

V. Phone/Fax

Practice location:
  • Phone: 480-991-2200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JULIA HOLMES
Title or Position: CEO
Credential:
Phone: 520-349-9783