PHOENIX RESIDENTIAL TREATMENT CENTER
NPI 1043994452
Psychiatric Residential Treatment Facility in Peoria, AZ

Active since June 14, 2023CLIA 03D2283228 · Waiver
9312 W HAPPY VALLEY RD, PEORIA, AZ 85383(833) 988-4025 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Residential Treatment Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX RESIDENTIAL TREATMENT CENTER (NPI 1043994452), doing business as Camelback Recovery, is a healthcare organization registered as a psychiatric residential treatment facility in Peoria, Arizona and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through June 1, 2027 and lists Christopher Newman, Coo, as its authorized official.

NPPES Registry Identity

NPI1043994452
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NamePHOENIX RESIDENTIAL TREATMENT CENTER
Location Address9312 W HAPPY VALLEY RDPeoria, AZ 85383-1262
Mailing Address4527 N 16th St Ste 200Phoenix, AZ 85016-5354 · (760) 835-7562
Organization SubpartYesParent: Camelback Recovery Treatment Center
Authorized OfficialChristopher NewmanCoo · (760) 835-7562
Enumeration DateJune 14, 2023
NPPES CertifiedJune 14, 2023
NPI 1043994452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
9312 W HAPPY VALLEY RD, Peoria, AZ 85383

Other Names 2

Doing Business AsCamelback Recovery
Other NameCamelback Recovery, Llc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2283228

Phoenix Residential Treatment Center · Peoria, AZ
Active · expires Jun 1, 2027
CLIA Number03D2283228
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorMichael Vines
Laboratory Phone(480) 737-8377
Laboratory LocationPhoenix Residential Treatment Center9312 W Happy Valley Rd, Peoria, AZ 85383
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Residential Treatment Center's NPI number?

The NPI number for Phoenix Residential Treatment Center is 1043994452. It was assigned to this organization in the NPPES registry on June 14, 2023. The provider is doing business as Camelback Recovery. The provider is also known as Camelback Recovery, LLC.

Where is Phoenix Residential Treatment Center located?

Phoenix Residential Treatment Center is located at 9312 W Happy Valley Rd, Peoria, AZ 85383. The listed phone number is (833) 988-4025.

What is Phoenix Residential Treatment Center's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Phoenix Residential Treatment Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2283228) is associated with this NPI, valid through June 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Phoenix Residential Treatment Center was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.