Detox Centers LLC

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

Legal business name

DETOX CENTERS LLC

Practice address

3724 N 3Rd St # 201
Phoenix, AZ 85012-2034

Phone

(602) 344-9850

Fax

(602) 490-8894

NPI assigned

Feb 18, 2020

Organization subpart

No

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

Authorized official

Name

Sonny Diaz

Title

Program Director

Phone

(602) 344-9850

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1962035956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 N 3RD ST # 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122034",
            "telephone_number": "602-344-9850",
            "fax_number": "602-490-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 N 3RD ST # 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122034",
            "telephone_number": "602-344-9850",
            "fax_number": "602-490-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETOX CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "SONNY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "602-344-9850"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Detering, NMD
• Dru Dethlefs, D.O.
• Daniella Darlene Detjens
• Corey L Detlefs, MD
• Erin C Detorie, CNP
• Christa Dettmer, SLP
• Staci Detwiler, MSW, LCSW
• Tyler Scott Detwiler, CRNA
• Laureen Deublein
• Daniel Joseph Deusterman, F.N.P.

• Addiction Medicine (Preventive Medicine) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction Medicine (Preventive Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.