Organization
AWAKENING RECOVERY CENTER
Active
Parent organization
AWAKENING RECOVERY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
AWAKENING RECOVERY CENTER
Authorized official
MR. SCOTT RICHARD PAYNE LISAC (OWNER/CLINICAL DIRECTOR)
(480) 209-1977
Entity
Organization
Contact information
Practice address
293 W 5TH ST, SAFFORD, AZ 85546-2324
(928) 428-8070
(480) 404-9716
Mailing address
1204 E BASELINE RD STE 208, TEMPE, AZ 85283-1453
(480) 209-1977
(480) 404-9716
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237605
—
AZ
Enumeration date
04/02/2019
Last updated
02/03/2026
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