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Sam Clayton Potter
Community/Behavioral Health Agency in Surprise, Arizona
NPI 1720500903

Sam Clayton Potter is a Community/Behavioral Health Agency based in Surprise, AZ. Sam Clayton Potter practices in Surprise, AZ. The NPI Number for Sam Clayton Potter is 1720500903 and holds a License No. (Arizona).

The current practice location address for Sam Clayton Potter is 16107 N 165Th Ln, Surprise, AZ and can be reached out via phone at 623-337-2511.

Location: 16107 N 165Th Ln, Surprise, AZ, 85388-1141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720500903
Provider Name
Sam Clayton Potter
Credential
Provider Entity Type
Individual
Gender
Male
Address
16107 N 165Th Ln, Surprise, AZ, 85388-1141
Phone Number
623-337-2511
Fax Number
Provider Enumeration Date
07/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16107 N 165Th Ln
City
Surprise
State
Arizona
Zip
85388-1141
Phone Number
623-337-2511
Fax Number
person
Provider Business Mailing Address Details
Address
16107 N 165Th Ln
City
Surprise
State
Arizona
Zip
85388-1141
Phone Number
623-337-2511
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
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.
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