Organization
SCOTTSDALE MAT CLINIC
Active
Other names
SMC - ARIZONA
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SIWEK (MANAGER)
(480) 414-2596
Entity
Organization
Contact information
Practice address
10207 N SCOTTSDALE RD, SCOTTSDALE, AZ 85253-1424
(480) 998-4673
Mailing address
PO BOX 15124, SCOTTSDALE, AZ 85267-5124
(480) 998-4673
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/10/2022
Last updated
11/23/2022
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