Anharo LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

OTC7650 Issued in AZ

Legal business name

ANHARO LLC

Doing business as

Juniper Recovery

Practice address

1110 E Route 66
Suite 200
Flagstaff, AZ 86001-4771

Phone

(425) 295-1010

NPI assigned

Apr 25, 2016

Organization subpart

No

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

Authorized official

Name

Andy Bordelon

Title

Ceo

Phone

(425) 295-1010

Specialties & licenses 1

Addresses

Other names 1

• Juniper Recovery Doing business as

Locations

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1568817880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E ROUTE 66",
            "address_2": "SUITE 200",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014771",
            "telephone_number": "425-295-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E ROUTE 66",
            "address_2": "SUITE 200",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014771",
            "telephone_number": "425-295-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANHARO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "BORDELON",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-295-1010"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "AZ",
            "license": "OTC7650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juniper Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristi Andreassen Guy
• Natalie M. Andress, CNM
• Kelsey Yvonne Andrist
• Angela Wyatt Dermatology, P.C.
• Angelique F. Varela,M.D.
• Kento Anjima
• Anna E McClaugherty
• Anthony Rosales, DPM, PC
• Mark Sheldon Anton, MA, LAC, NCC-BC
• Anxiety Disorders and Medical Psychology Treatment Center, P.C.

• Substance Use Disorder Rehabilitation Clinic/Center in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.