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Contact Information

DESERT VISIONS YOUTH WELLNESS CENTER
198 S. SKILL CENTER ROAD
SACATON, AZ85147
 Phone: 888-431-4096
 Fax: 520-562-3415
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for DESERT VISIONS YOUTH WELLNESS CENTER

NPI # 1033543988
LBN Legal business name DESERT VISIONS YOUTH WELLNESS CENTER
Authorized official HOLLY ELLIOTT - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/28/2013
Last updated 08/28/2013 - About 13 years ago
Identifiers
NM License # 0157171
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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