The Potter'S House Substance Abuse Center

LBN: The Potter'S House Substance Abuse Center
The Potter'S House Substance Abuse Center is an health care organization with primary practice located at 1717 W Northern Ave Ste 101 , Phoenix AZ 85021-5400. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rehabilitation. Agencies / Community/Behavioral Health is the primary health care specialty. The Potter'S House Substance Abuse Center can be contacted via phone (602) 254-9701, or through Jones, Sheena Rosette via phone (602) 254-9701.

Contact Information

Primary practice address
1717 W Northern Ave Ste 101 Phoenix AZ 85021-5400
Phone: (602) 254-9701
Fax: (602) 252-0830
Website:
Map and Directions
Authorized official contact:
Name: Jones, Sheena Rosette
Phone: (602) 254-9701

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Agencies / Community/Behavioral Health 251S00000X BH3520 Arizona
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X LISAC-10784 Arizona

Profile Details

NPI number 1225147960
LBN Legal business name The Potter'S House Substance Abuse Center
DBA Doing business as
Authorized official Jones, Sheena Rosette
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Oct 22nd, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225147960 NPPES
Arizona Other 1225147960 NPI
Arizona MEDICAID 004477 NPI

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