Organization Active NPI

Dembro Recovery Services

  • Mental Illness Community Based Residential Treatment Facility
  • Casa Grande, AZ
National Provider Identifier
1699363770
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
DEMBRO RECOVERY SERVICES
Practice address
136 E Date Ave
Casa Grande, AZ 85122-4921
Phone
(520) 217-0951
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Ms. Erica D Brown, MA LAC NCC
Title
Administrator
Phone
(520) 217-0915

Specialties & licenses 1

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

Addresses

Primary practice location

136 E Date Ave
Casa Grande, AZ 85122-4921

Mailing address

3101 N Central Ave Ste 220
Phoenix, AZ 85012-2828
Phone (520) 217-0915

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1699363770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122828",
            "telephone_number": "520-217-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E DATE AVE",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224921",
            "telephone_number": "520-217-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMBRO RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-217-0915",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA LAC NCC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.