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1477973170 NPI number — AWAKENING RECOVERY CENTER

NPI Number: 1477973170
Health Care Provider/Practitioner: AWAKENING RECOVERY CENTER

Information about “1477973170” NPI (AWAKENING RECOVERY CENTER) exists in 1477973170 in HTML format HTML  |  1477973170 in plain Text format TXT  |  1477973170 in PDF (Portable Document Format) PDF  |  1477973170 in an XML format XML  formats.

NPI Number : 1477973170 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477973170",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AWAKENING RECOVERY CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1204 E BASELINE RD",
    "SecondLineMailingAddress": "SUITE 208",
    "MailingAddressCityName": "TEMPE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85283-1454",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-209-1977",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1204 E BASELINE RD",
    "SecondLinePracticeLocationAddress": "SUITE 208",
    "PracticeLocationAddressCityName": "TEMPE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85283-1454",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-209-1977",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/21/2014",
    "LastUpdateDate": "03/08/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RICHARD",
    "AuthorizedOfficialFirstName": "SCOTT",
    "AuthorizedOfficialMiddleName": "PAYNE",
    "AuthorizedOfficialTitle": "CERTIFIED PROFESSIONAL COUNSELOR",
    "AuthorizedOfficialNamePrefix": "PROF.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LISAC",
    "AuthorizedOfficialTelephoneNumber": "480-209-1977",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "LISAC-10360",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "324500000X",
          "TaxonomyName": "Substance Abuse Rehabilitation Facility",
          "LicenseNumber": "CSLG7734",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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