Organization
EAGLES OASIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRIO M DAVIS (CEO)
(602) 705-1011
Entity
Organization
Contact information
Practice address
8754 E VIA DE ENCANTO, SCOTTSDALE, AZ 85258-4019
(602) 705-1011
Mailing address
1833 W LARK DR, CHANDLER, AZ 85286-7485
(602) 705-1011
(602) 705-1011
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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