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1902607237 NPI number — HORIZON RECOVERY OUTPATIENT NORTH PHOENIX

NPI Number: 1902607237
Health Care Provider/Practitioner: HORIZON RECOVERY OUTPATIENT NORTH PHOENIX

Information about “1902607237” NPI (HORIZON RECOVERY OUTPATIENT NORTH PHOENIX) exists in 1902607237 in HTML format HTML  |  1902607237 in plain Text format TXT  |  1902607237 in PDF (Portable Document Format) PDF  |  1902607237 in an XML format XML  formats.

NPI Number : 1902607237 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902607237",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "HORIZON RECOVERY LLC",
    "ParentOrgTIN": null,
    "OrgName": "HORIZON RECOVERY OUTPATIENT NORTH PHOENIX",
    "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": "6635 W HAPPY VALLEY RD STE A104",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLENDALE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85310-2609",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "623-693-2198",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "18456 N 25TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85023-1213",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-219-7098",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/22/2025",
    "LastUpdateDate": "04/05/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CARLISLE",
    "AuthorizedOfficialFirstName": "BRIAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "FNP-C",
    "AuthorizedOfficialTelephoneNumber": "480-219-7098",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QR0405X",
          "TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0855X",
          "TaxonomyName": "Adolescent and Children Mental Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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