N/A
NPI 1073908810
Community Based Residential Treatment Facility, Mental Illness in Arizona City, AZ
About N/a NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
N/A (NPI 1073908810) is a healthcare organization registered as a community based residential treatment facility, mental illness in Arizona City, Arizona and active in the NPI registry since March 2015. The organization lists Clarence Vanard Burton, Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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 Ccr Intergrated Health's NPI number?
The NPI number for Ccr Intergrated Health is 1073908810. It was assigned to this organization in the NPPES registry on March 30, 2015.
Where is Ccr Intergrated Health located?
Ccr Intergrated Health is located at 12268 W Delwood Drive 3699, Arizona City, AZ 85123. The listed phone number is (228) 383-1240.
What is Ccr Intergrated Health's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
When was this NPI record last updated?
The NPPES record for Ccr Intergrated Health was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# N/a · NPI 1073908810
Community Based Residential Treatment Facility, Mental Illness organization in Arizona City, Arizona. Organization record, active in the CMS NPPES registry since March 30, 2015.
## Identity
- **NPI:** 1073908810 (Entity type: Organization)
- **Enumerated:** March 30, 2015
- **Primary specialty:** Community Based Residential Treatment Facility, Mental Illness · taxonomy 320800000X
- **Legal business name:** Ccr Intergrated Health
- **Organization subpart:** No
- **Authorized official:** Clarence Burton, DIRECTOR OF OPERATIONS
## Practice location
- **Address:** 12268 W DELWOOD DRIVE, 3699, Arizona City, AZ 85123
- **Phone:** (228) 383-1240
## Record status
- **NPPES last updated:** March 30, 2015
- **Other identifiers:** Medicaid 503218 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1073908810) · Data from the CMS NPPES public registry.