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Wd Recovery And Wellness Center, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Phoenix, AZ. Organization (NPI-2).

NPI number1669986998
StatusActive
Last updated in NPPESMay 5, 2025

Details

NPI
1669986998
Entity type
Organization (NPI-2)
Legal business name
Wd Recovery And Wellness Center, LLC
Organization subpart
No
Enumeration date
Nov 22, 2017
Certification date
May 5, 2025
Last updated
May 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)––
101YP2500X Counselor, Professional––
106H00000X Marriage & Family Therapist––
133N00000X Nutritionist––
133NN1002X Nutritionist, Nutrition, Education––
164X00000X Licensed Vocational Nurse––
261Q00000X Clinic/Center––
261QC1500X Clinic/Center, Community Health––
261QM0850X Clinic/Center, Adult Mental Health––
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––
261QR0800X Clinic/Center, Recovery Care––
324500000X Substance Abuse Rehabilitation Facility––

Practice location

6520 N 7th St Ste 100
Phoenix, AZ 85014-1213

Phone 480-681-0454 · Fax 480-681-0449

Mailing address

6520 N 7th St Ste 200
Phoenix, AZ 85014-1239

Phone 480-681-0454 · Fax 480-681-0449

Authorized official

Ocean Wolpert
Administrator
6027321151

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