Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cactus Sage LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1902494941

Cactus Sage LLC is a Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3424 E Coronado Rd
Phoenix, AZ 85008-3826
Phone: (623) 225-1240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1902494941
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geraldine Mutwol — Ceo · (623) 225-1240
NPI enumeratedJanuary 5, 2021
Last updated in NPPESJanuary 5, 2021
Certification dateJanuary 5, 2021
Mailing address3848 E Pollack St, Phoenix, AZ 85042-6207

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