Provider Demographics
NPI:1104377142
Name:AMERICAS REHAB CAMPUSES
Entity Type:Organization
Organization Name:AMERICAS REHAB CAMPUSES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-885-8342
Mailing Address - Street 1:7144 E STETSON DR
Mailing Address - Street 2:SUITE C200
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3260
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7144 E STETSON DR
Practice Address - Street 2:SUITE C200
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-3260
Practice Address - Country:US
Practice Address - Phone:602-885-8342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-14
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility