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General NPI Number Information
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NPI Number | 1952259392
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Entity Type | Organization
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Legal Business Name | WOLF CREEK RECOVERY SCOTTSDALE, LLC
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 6240 E IRONWOOD DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85266-8758
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Country | US
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Telephone | 928-800-0169
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Fax |
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Provider Business Mailing Address
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Address Line | 600 E GURLEY ST STE C
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City | PRESCOTT
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State | AZ
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Zip | 86301-3246
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JONATHON CIAMPA
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Credential |
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Telephone | 928-379-4075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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