| Ahwatukee Health Care, Llc | |
|
12691 W Smokey Dr Ste 127 Surprise AZ 85378-3801 | |
| (480) 272-8450 | |
| (480) 272-8307 |
| Full Name | Ahwatukee Health Care, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 12691 W Smokey Dr Ste 127, Surprise, Arizona |
| Authorized Official Name and Position | Mary Ann Holton (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4802728450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahwatukee Health Care, Llc 16515 S 40th St Ste 119 Phoenix AZ 85048-0559 Ph: (480) 272-8450 | Ahwatukee Health Care, Llc 12691 W Smokey Dr Ste 127 Surprise AZ 85378-3801 Ph: (480) 272-8450 |
| NPI Number | 1588494587 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588494587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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