Organization
RED ROCK ADDICTION AND TREATMENT COMPANY, LLC
Active
Organization
RED ROCK ADDICTION AND TREATMENT COMPANY, LLC
Active
Parent organization
CANYON ROCK MANAGEMENT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANYON ROCK MANAGEMENT, LLC
Authorized official
PAULA BEAN (CHIEF REVENUE CYCLE OFFICER)
(772) 247-1428
Entity
Organization
Contact information
Practice address
3512 N HIGLEY RD, MESA, AZ 85215-9713
(602) 833-8452
(480) 718-8839
Mailing address
PO BOX 29650, DEPT# 880130, PHOENIX, AZ 85038-9650
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
BH4857
AZ
324500000X
Substance Abuse Rehabilitation Facility
Primary
OTC7625
AZ
Other
Enumeration date
01/14/2016
Last updated
12/22/2016
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