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Organization
RECOVER SCOTTSDALE LLC
Active
Organization
RECOVER SCOTTSDALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINN MCCULLOUGH (CEO)
(480) 745-1713
Entity
Organization
Contact information
Practice address
7287 E EARLL DR BLDG D, SCOTTSDALE, AZ 85251-7230
(480) 745-1713
Mailing address
7287 E EARLL DR BLDG D, SCOTTSDALE, AZ 85251-7230
(480) 745-1713
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
NULL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084P0802X
Addiction Psychiatry Physician
Primary
—
NULL
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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