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Organization
SCOTTSDALE MENTAL HEALTH AND WELLNESS INSTITUTE PLLC
Active
Organization
SCOTTSDALE MENTAL HEALTH AND WELLNESS INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND SEGAL MD (MEMBER)
(480) 508-0882
Entity
Organization
Contact information
Practice address
8350 E RAINTREE DR STE 130, SCOTTSDALE, AZ 85260-2692
(480) 508-0882
(480) 508-0891
Mailing address
8350 E RAINTREE DR STE 130, SCOTTSDALE, AZ 85260-2692
(480) 508-0882
(480) 508-0891
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5706
FACILITY ID
AZ
01
—
OTC9888
OUTPATIENT TREATMENT CENTER
AZ
Enumeration date
05/22/2020
Last updated
04/08/2022
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