Provider Demographics
NPI:1750132775
Name:AZHP COMMUNITY CARE
Entity type:Organization
Organization Name:AZHP COMMUNITY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MADISON
Authorized Official - Middle Name:
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:480-735-9090
Mailing Address - Street 1:8111 E THOMAS RD STE 120
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5876
Mailing Address - Country:US
Mailing Address - Phone:480-735-9090
Mailing Address - Fax:480-584-4885
Practice Address - Street 1:8111 E THOMAS RD STE 120
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5876
Practice Address - Country:US
Practice Address - Phone:480-735-9090
Practice Address - Fax:480-584-4885
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AZ HEALTH PATH, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)