Provider Demographics
NPI:1558087916
Name:SANCTUARY TREATMENT CENTER PLLC
Entity Type:Organization
Organization Name:SANCTUARY TREATMENT CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-768-6704
Mailing Address - Street 1:9375 E SHEA BLVD STE 276
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6991
Mailing Address - Country:US
Mailing Address - Phone:602-768-6704
Mailing Address - Fax:325-289-6197
Practice Address - Street 1:10752 N 89TH PL STE C230
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6730
Practice Address - Country:US
Practice Address - Phone:602-768-6704
Practice Address - Fax:325-289-6197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-18
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty