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General NPI Number Information
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NPI Number | 1346806072
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Entity Type | Organization
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Legal Business Name | HOPE & HEALING ADDICTION TREATMENT CENTERS LLC
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Dates
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Enumeration Date | 05/17/2019
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 7150 E GARY RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5217
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Country | US
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Telephone | 480-868-8697
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Fax |
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Provider Business Mailing Address
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Address Line | 67 S HIGLEY RD STE 103-208
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City | GILBERT
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State | AZ
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Zip | 85296-1166
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Country | US
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Telephone | 480-868-8697
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CASSANDRA FORTSON
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Credential |
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Telephone | 480-868-8697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric 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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