Haven Recovery Az LLC

NPI #1396115234 in Glendale, Arizona

Provider Information

NPI Number
1396115234
Entity Type
Organization
Organization Name
Haven Recovery Az LLC
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Oct 5, 2015
Last Updated
Oct 5, 2015

Practice Location

Address
9524 W CAMELBACK RD
Address 2
STE C-130, #293
State
Arizona
ZIP Code
85305-3104
Phone
(405) 834-2993

Authorized Official

Name
ERICH BRUESCHKE
Title
MEMBER
Phone
(405) 834-2993

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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