Provider Demographics
NPI:1548497035
Name:SCOTTSDALE TREATEMENT INCORPORATED
Entity type:Organization
Organization Name:SCOTTSDALE TREATEMENT INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:LISAC, NCACII
Authorized Official - Phone:480-429-9044
Mailing Address - Street 1:6991 E CAMELBACK RD
Mailing Address - Street 2:SUITE B360
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-2432
Mailing Address - Country:US
Mailing Address - Phone:480-429-9044
Mailing Address - Fax:480-429-9048
Practice Address - Street 1:6991 E CAMELBACK RD
Practice Address - Street 2:SUITE B360
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-2432
Practice Address - Country:US
Practice Address - Phone:480-429-9044
Practice Address - Fax:480-429-9048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health