Awakening Recovery Center
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Apache Junction, AZ
NPI 1174410963 · NPPES record last updated Feb 3, 2026
Key facts
- NPI
- 1174410963
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- AWAKENING RECOVERY CENTER
- Practice address
- 350 W Superstition Blvd
Ste. 119
Apache Junction, AZ 85120 - Phone
- (480) 474-8797
- Fax
- (480) 982-7615
- NPI assigned
- Jun 23, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- AWAKENING RECOVERY CENTER
Authorized official
- Name
- Mr. Scott Richard Payne, LISAC
- Title
- Ceo
- Phone
- (480) 341-1644
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Awakening Recovery Center
- Part of
- Awakening Recovery Center
Locations
350 W Superstition Blvd
Ste 119
Apache Junction, AZ 85120
Phone (480) 474-8797
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
350 W Superstition Blvd
Ste. 119
Apache Junction, AZ 85120
Mailing address
1204 E. Basline Rd.
Ste. 208
Tempe, AZ 85283
Phone (480) 209-1977
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 237605 | Medicaid | AZ | |
| 504448 | Medicaid | AZ |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.