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Country Health Care — NPI 1356147128, Phoenix, AZ | NPI Central

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NPI 1356147128

OrganizationActive

Country Health Care

NPI 1356147128 · Children's Substance Abuse Rehabilitation Facility · Phoenix, AZ

Provider details

NPI number: 1356147128
Entity type: Organization
Primary specialty: Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Kenneth Countryman, President(602) 363-2743

Specialties & taxonomies

Children's Substance Abuse Rehabilitation FacilityPrimary3245S0500X
Residential Treatment Facilities
Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers

Practice location

4444 N 25th St Unit 43

Phoenix, AZ 85016-5645

Phone: (602) 363-2743

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

Po Box 11077

Tempe, AZ 85284-0018

Other names (DBA / former)

Former legal business name: Country Healh Care

Registry dates

Enumerated: 2025-02-21
Last updated: 2025-02-21
Certified: 2025-02-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.