Organization
AVERYS HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA STINER (BILLING DIRECTOR)
(602) 694-9643
Entity
Organization
Contact information
Practice address
15843 E PRIMROSE DR, FOUNTAIN HILLS, AZ 85268-3630
(888) 672-2120
Mailing address
11624 E SHEA BLVD, SCOTTSDALE, AZ 85259-5111
(602) 694-9643
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
03/30/2023
Last updated
12/11/2025
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