Organization
SCOTTSDALE MENTAL HEALTH AND WELLNESS INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND SEGAL MD (MEMBER)
(480) 508-0882
Entity
Organization
Contact information
Practice address
8350 E RAINTREE DR STE 130, SCOTTSDALE, AZ 85260-2692
(480) 508-0882
(480) 508-0891
Mailing address
8350 E RAINTREE DR STE 130, SCOTTSDALE, AZ 85260-2692
(480) 508-0882
(480) 508-0891
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5706
FACILITY ID
AZ
01
—
OTC9888
OUTPATIENT TREATMENT CENTER
AZ
Enumeration date
05/22/2020
Last updated
04/08/2022
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