Organization · NPI-2

365 Recovery Clinic

Clinic/Center, Mental Health (Including Community Mental Health Center) · Phoenix, AZ

NPI number1497480800
StatusActive
Last updated in NPPESJul 19, 2022

Details

NPI
1497480800
Entity type
Organization (NPI-2)
Legal business name
365 Recovery Clinic
Organization subpart
No
Enumeration date
Jul 19, 2022
Certification date
Jul 19, 2022
Last updated
Jul 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

11225 N 28th Dr Ste D220b
Phoenix, AZ 85029-5697

Phone 480-865-4762 · Fax 520-455-3200

Mailing address

11225 N 28th Dr Ste D220b
Phoenix, AZ 85029-5697

Phone 480-865-4762 · Fax 520-455-3200

Authorized official

Mario Alvarez
Rn
4802464676

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