Provider Demographics
NPI:1922874965
Name:ROBUST THERAPEUTICS HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ROBUST THERAPEUTICS HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JONN
Authorized Official - Middle Name:
Authorized Official - Last Name:DMARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-249-8410
Mailing Address - Street 1:927 W HATCHER RD STE 101-102
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-3173
Mailing Address - Country:US
Mailing Address - Phone:925-249-8410
Mailing Address - Fax:602-699-4689
Practice Address - Street 1:927 W HATCHER RD STE 101-102
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-3173
Practice Address - Country:US
Practice Address - Phone:925-249-8410
Practice Address - Fax:602-699-4689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-30
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility