National Provider Identifier Database

GILA RIVER INDIAN COMMUNITY DEPARTMENT OF HUMAN SERVICES
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

GILA RIVER INDIAN COMMUNITY DEPARTMENT OF HUMAN SERVICES
3850 N. 16 STREET
LAVEEN VILLAGE, AZ85339
Phone: 520-796-3860
Fax: 520-796-3801
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for GILA RIVER INDIAN COMMUNITY DEPARTMENT OF HUMAN SERVICES

NPI Number 1073755013
Legal business name
LBN
GILA RIVER INDIAN COMMUNITY DEPARTMENT OF HUMAN SERVICES
Authorized official GLENN CUMMINGS - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/06/2009
Last updated 04/06/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Other: 074165 ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM
  • AZ Other: 411673 ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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