Provider Demographics
NPI:1568958510
Name:VIEWPOINT SCOTTSDALE RECOVERY CENTER, LLC
Entity Type:Organization
Organization Name:VIEWPOINT SCOTTSDALE RECOVERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:BAUMGARTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-778-5907
Mailing Address - Street 1:702 W HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-1913
Mailing Address - Country:US
Mailing Address - Phone:928-778-5907
Mailing Address - Fax:
Practice Address - Street 1:7807 E GREENWAY RD STE 1
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1717
Practice Address - Country:US
Practice Address - Phone:928-778-5907
Practice Address - Fax:928-778-5908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility