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The Potter's House Substance Abuse Center
Rehabilitation Clinic/Center in Phoenix, Arizona
NPI 1225147960

The Potter's House Substance Abuse Center is a Rehabilitation Clinic/Center based in Phoenix, AZ and is specialized in Rehabilitation. The Potter's House Substance Abuse Center practices in Phoenix, AZ. The NPI Number for The Potter's House Substance Abuse Center is 1225147960 and holds a License No. (Arizona).

The current practice location address for The Potter's House Substance Abuse Center is 1717 W Northern Ave Ste 101, Phoenix, AZ and can be reached out via phone at 602-254-9701 and via fax at 602-252-0830.

Location: 1717 W Northern Ave Ste 101, Phoenix, AZ, 85021-5400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225147960
Provider Name
The Potter's House Substance Abuse Center
Credential
Provider Entity Type
Organization
Address
1717 W Northern Ave Ste 101, Phoenix, AZ, 85021-5400
Phone Number
602-254-9701
Fax Number
602-252-0830
Provider Enumeration Date
08/29/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1225147960 01 AZ NPI
004477 05 AZ
institution
Provider Business Practice Location Address Details
Address
1717 W Northern Ave Ste 101
City
Phoenix
State
Arizona
Zip
85021-5400
Phone Number
602-254-9701
Fax Number
602-252-0830
person
Provider Business Mailing Address Details
Address
1717 W Northern Ave Ste 101
City
Phoenix
State
Arizona
Zip
85021-5400
Phone Number
602-254-9701
Fax Number
602-252-0830
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
BH3520 (Arizona)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation
Taxonomy
261QR0400X
License No.
()
Definition
Definition to come...
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