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Organization
ARIZONA ADDICTION TREATMENT LLC
Active
Organization
ARIZONA ADDICTION TREATMENT LLC
Active
Other names
Arizona Addiction Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT BURROFF (OWNER)
(480) 227-5018
Entity
Organization
Contact information
Practice address
9417 N 17TH PL, PHOENIX, AZ 85020-2310
(480) 227-5018
Mailing address
9417 N 17TH PL, PHOENIX, AZ 85020-2310
(480) 227-5018
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
07/17/2022
Last updated
02/01/2024
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