Organization
THE POTTER'S HOUSE SUBSTANCE ABUSE CENTER
Active
Organization
THE POTTER'S HOUSE SUBSTANCE ABUSE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEENA ROSETTE JONES (VICE PRESIDENT)
(602) 254-9701
Entity
Organization
Contact information
Practice address
1717 W NORTHERN AVE STE 101, PHOENIX, AZ 85021-5400
(602) 254-9701
(602) 252-0830
Mailing address
1717 W NORTHERN AVE STE 101, PHOENIX, AZ 85021-5400
(602) 254-9701
(602) 252-0830
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
BH3520
AZ
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
LISAC-10784
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004477
—
AZ
01
—
1225147960
NPI
AZ
Enumeration date
08/29/2006
Last updated
10/22/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up