Organization Name: | THE POTTER'S HOUSE SUBSTANCE ABUSE CENTER |
NPI Number: | 1043630320 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHEENA R JONES (VP/HR MANAGER) |
Mailing Address: | 4220 N 20th Ave Suite 100 Phoenix |
State: | AZ US |
Postal Code: | 850155101 |
Phone Number: | 6022549701 |
Fax Number: | 6022520830 |
NPI Enumeration Date: | 04/24/2014 |
NPI Last Update Date: | 04/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |