Phoenix Recovery Clinic LLC

NPI #1790503829 in Yuma, Arizona

Provider Information

NPI Number: 1790503829
Entity Type: Organization
Organization Name: Phoenix Recovery Clinic LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 27, 2024
Last Updated: Sep 27, 2024

Practice Location

Address: 842 S 2ND AVE
City: Yuma
State: Arizona
ZIP Code: 85364-3910
Phone: (480) 200-0222

Authorized Official

Name: CARLOS ALBERTO MUNOZ RODRIGUEZ
Title: OWNER/ADMINISTRATOR
Phone: (480) 200-0222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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