SEQUELCARE OF ARIZONA – NPI #1083115364
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

SEQUELCARE OF ARIZONA is a community based residential treatment facility located in FLAGSTAFF, AZ. NPPES has assigned the NPI number 1083115364 to SEQUELCARE OF ARIZONA on February 22, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SEQUELCARE OF ARIZONA below.

NPI Profile for
SEQUELCARE OF ARIZONA

NPI Number
1083115364
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SEQUELCARE OF ARIZONA
Primary location
8800 MARYS DRIVE
FLAGSTAFF, AZ 86004
Phone: (928) 526-0997 Fax: (928) 525-1151
Mailing address
3170 STILLWATER DRIVE
PRESCOTT, AZ 86305
Phone: (928) 777-3280 Fax: (928) 717-1660
Organization Subpart
No
Authorized Official
WENDY RAZO
EXECUTIVE DIRECTOR
Phone: (928) 777-3280
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
AZ BH-3195

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.