National Provider Identifier Database

NORTHWEST ORGANIZATION FOR VOLUNTARY ALTERNATIVES
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

NORTHWEST ORGANIZATION FOR VOLUNTARY ALTERNATIVES
5801 NORTH 51ST AVENUE SUITE 109
GLENDALE, AZ85301
Phone: 623-931-5810
Fax: 623-931-1302
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for NORTHWEST ORGANIZATION FOR VOLUNTARY ALTERNATIVES

NPI Number 1437346517
Legal business name
LBN
NORTHWEST ORGANIZATION FOR VOLUNTARY ALTERNATIVES
Authorized official EDWARD PINNOW - (ACTING DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 10/02/2007
Last updated 04/07/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: BH 406
  • AZ Other: 346058 AHCCCS

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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