# SNEAKAHEADZ RECOVERY COMMUNITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144008897
- **Authorized official:** PATRICIA RUIZ CCHW (OWNER)
- **Authorized official phone:** (480) 798-6459

## Contact information

- **Practice address:** 8252 S 15TH AVE, PHOENIX, AZ 85041-7806
- **Practice address phone:** (480) 798-6459
- **Mailing address:** 8252 S 15TH AVE, PHOENIX, AZ 85041-7806
- **Mailing address phone:** (480) 798-6459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 174200000X | Meals Provider | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |
| 332U00000X | Home Delivered Meals | — | NULL | — |
| 333300000X | Emergency Response System Companies | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 09/14/2023
- **Last updated:** 09/15/2023