NPI Profile for REDROCK BEHAVIORAL HEALTH LLC in PHOENIX, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Case Management |
251B00000X | |||
Clinic/Center |
261Q00000X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Community Health |
261QC1500X | |||
Community/Behavioral Health |
251S00000X | |||
Health Service |
261QH0100X | |||
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Psychologist |
103T00000X | 62 | Psychologist, Clinical | |
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility | |
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI Number | 1366380339 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/23/2026 | |
| Last updated | 03/23/2026 - About 3 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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