DESERT VISIONS YOUTH WELLNESS CENTE – NPI #1104195353
Substance Abuse 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

DESERT VISIONS YOUTH WELLNESS CENTE is a substance abuse rehabilitation facility located in SACATON, AZ. NPPES has assigned the NPI number 1104195353 to DESERT VISIONS YOUTH WELLNESS CENTE on December 16, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DESERT VISIONS YOUTH WELLNESS CENTE” is a dba name, the actual legal business name for this organization is DHHS IHS PHOENIX AREA. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

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 DESERT VISIONS YOUTH WELLNESS CENTE below.

NPI Profile for
DHHS IHS PHOENIX AREA

NPI Number
1104195353
Enumeration Date

(more than 14 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
DHHS IHS PHOENIX AREA
Doing Business As (dba): DESERT VISIONS YOUTH WELLNESS CENTE
Primary location
198 S SKILL CENTER RD
SACATON, AZ 85247
Phone: (888) 431-4096 Fax:
Mailing address
PO BOX 458
SACATON, AZ 85147-0008
Phone: (888) 431-4096 Fax:
Organization Subpart
No
Authorized Official
HOLLY ELLIOTT
CHIEF EXECUTIVE OFFICER
Phone: (888) 431-4096
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
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)

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.