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General NPI Number Information
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NPI Number | 1205653714
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Entity Type | Organization
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Legal Business Name | DESERT RECOVERY CENTERS LLC
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Dates
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Enumeration Date | 09/25/2024
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 23222 N CHURCH RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-3737
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Country | US
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Telephone | 623-343-4664
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Fax | 623-399-1015
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Provider Business Mailing Address
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Address Line | 8105 W FRIER DR
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City | GLENDALE
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State | AZ
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Zip | 85303-1021
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Country | US
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Telephone | 623-323-1012
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Fax | 623-399-1015
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | AN PSY.D. NGUYEN
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Credential | PSY.D.
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Telephone | 602-332-8889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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