Organization Active NPI

Alpha Omega Treatment Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
National Provider Identifier
1457051443
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ALPHA OMEGA TREATMENT CENTER LLC
Practice address
2720 E Thomas Rd
Phoenix, AZ 85016-8299
Phone
(602) 410-8468
NPI assigned
Mar 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Yonas Abrha
Title
Manager
Phone
(602) 410-8468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2720 E Thomas Rd
Phoenix, AZ 85016-8299

Mailing address

7027 S 58TH Ave
Laveen, AZ 85339-2266
Phone (602) 410-8468

Other practice location 1

7027 S 58th Ave
Laveen, AZ 85339-2266
Phone (602) 410-8468

National Provider Directory

National Provider Directory

Locations

2720 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 410-8468

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1457051443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7027 S 58TH AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392266",
            "telephone_number": "602-410-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168299",
            "telephone_number": "602-410-8468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7027 S 58th Ave",
            "address_purpose": "LOCATION",
            "city": "Laveen",
            "state": "AZ",
            "postal_code": "853392266",
            "country_code": "US",
            "telephone_number": "602-410-8468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALPHA OMEGA TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-04",
        "status": "A",
        "authorized_official_last_name": "ABRHA",
        "authorized_official_first_name": "YONAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-410-8468"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.