Organization Active NPI

Dark Horse Recovery

  • Mental Illness Community Based Residential Treatment Facility
  • Goodyear, AZ
National Provider Identifier
1346837606
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
DARK HORSE RECOVERY
Practice address
15972 W Linden St
Goodyear, AZ 85338-2759
Phone
(623) 256-7539
NPI assigned
Dec 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patricia Plum
Title
Partner
Phone
(623) 256-7539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

15972 W Linden St
Goodyear, AZ 85338-2759

Mailing address

PO Box 7405
Goodyear, AZ 85338-0641
Phone (623) 337-2275

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL trish@dhraz.org Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1346837606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7405",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853380641",
            "telephone_number": "623-337-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15972 W LINDEN ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382759",
            "telephone_number": "623-256-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARK HORSE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "PLUM",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "623-256-7539"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "trish@dhraz.org",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15972 W Linden St",
            "city": "Goodyear",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853382759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.