MEDICARE: NATIVE AMERICAN CONNECTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1407450018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIVE AMERICAN CONNECTIONS

Provider Business Mailing Address
First Line	:	3216 N 3RD ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-2682
Country	:	US
Telephone Number	:	602-254-3247
Fax Number	:	602-256-7356

Provider Business Practice Location Address
First Line	:	1431 E DUNLAP AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-3026
Country	:	US
Telephone Number	:	602-612-3617
Fax Number	:

Authorized Official
Title or Position	:	SR. DIRECTOR
Name	:	SONIA SABERHAGEN
Credential	:	LCSW
Telephone Number	:	480-356-0053

Provider Enumeration Date	:	11/24/2020
Last Update Date	:	05/18/2026

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