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Organization

JHC IOP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSH LANNON (CEO)
(480) 840-2588
Entity
Organization

Contact information

Practice address
11624 E SHEA BLVD, SCOTTSDALE, AZ 85259-5111
(480) 840-2588
(480) 767-2701
Mailing address
11624 E SHEA BLVD, SCOTTSDALE, AZ 85259-5111
(480) 840-2588
(480) 767-2701

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
BH4054
AZ

Other

Enumeration date
10/22/2012
Last updated
10/22/2012
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