Organization Active NPI

Dignity Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1518886910
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
DIGNITY RECOVERY LLC
Practice address
1717 W Northern Ave Ste 204C
Phoenix, AZ 85021-5471
Phone
(602) 661-7659
NPI assigned
Jul 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Authorized official

Name
Mr. Moffat Boeme Molosiwa
Title
Owner/Manager
Phone
(602) 661-7659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1717 W Northern Ave Ste 204C
Phoenix, AZ 85021-5471

Mailing address

1717 W Northern Ave Ste 204C
Phoenix, AZ 85021-5471
Phone (602) 661-7659

National Provider Directory

National Provider Directory

Locations

1717 W Northern Ave
Ste 204C
Phoenix, AZ 85021

NPI Registry JSON

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

{
    "created_epoch": "1783728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783728000000",
    "number": "1518886910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W NORTHERN AVE STE 204C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215471",
            "telephone_number": "602-661-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W NORTHERN AVE STE 204C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215471",
            "telephone_number": "602-661-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-11",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A",
        "authorized_official_last_name": "MOLOSIWA",
        "authorized_official_first_name": "MOFFAT",
        "authorized_official_middle_name": "BOEME",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "602-661-7659",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "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 Jul 11, 2026; 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.