OrganizationActive
Beyond the Basics
NPI 1609622430 · Substance Abuse Rehabilitation Facility · Flagstaff, AZ
Provider details
- NPI number
- 1609622430
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Roy Duprez, Ceo(928) 814-2220
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
1701 W Stevanna Way
Flagstaff, AZ 86001-1157
Phone: (928) 814-2220
Approximate (ZIP-level) locationGet directions
Mailing address
1600 W University Ave Ste 205
Flagstaff, AZ 86001-3154
Registry dates
- Enumerated
- 2024-04-24
- Last updated
- 2025-08-28
- Certified
- 2025-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.