Arizona Addiction Treatment Programs, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BH1819 Issued in AZ

Legal business name

ARIZONA ADDICTION TREATMENT PROGRAMS, INC

Practice address

525 W Southern Ave Ste 109
Mesa, AZ 85210-5009

Phone

(480) 644-9033

Fax

(480) 644-8180

NPI assigned

Oct 21, 2008

Organization subpart

No

Name

Mr. David R Gallagher, MA, LISAC

Title

Executive Director

Phone

(480) 644-9033

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2008.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1376795534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W SOUTHERN AVE STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105009",
            "telephone_number": "480-644-9033",
            "fax_number": "480-644-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W SOUTHERN AVE STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105009",
            "telephone_number": "480-644-9033",
            "fax_number": "480-644-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA ADDICTION TREATMENT PROGRAMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-644-9033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LISAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH1819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.