Organization
VANGUARD OR LLC
Active
Organization
VANGUARD OR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE BRIGGS (CEO)
(480) 320-0752
Entity
Organization
Contact information
Practice address
9541 SW INEZ ST, TIGARD, OR 97224-5885
(602) 851-9710
Mailing address
31917 N 64TH ST, CAVE CREEK, AZ 85331-2700
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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