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Contact Information

JADA THERAPY PLLC
2724 E LAKIN DR STE 7
FLAGSTAFF, AZ86004-3900
 Phone: 928-440-4786
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for JADA THERAPY PLLC

NPI # 1124772975
LBN Legal business name JADA THERAPY PLLC
Authorized official ALBARO RODRIGUEZ - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/10/2022
Last updated 02/10/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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