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Organization
SNEAKAHEADZ RECOVERY COMMUNITY
Active
Organization
SNEAKAHEADZ RECOVERY COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA RUIZ CCHW (OWNER)
(480) 798-6459
Entity
Organization
Contact information
Practice address
8252 S 15TH AVE, PHOENIX, AZ 85041-7806
(480) 798-6459
Mailing address
8252 S 15TH AVE, PHOENIX, AZ 85041-7806
(480) 798-6459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
174200000X
Meals Provider
—
NULL
251B00000X
Case Management Agency
—
NULL
251K00000X
Public Health or Welfare Agency
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
332U00000X
Home Delivered Meals
—
NULL
333300000X
Emergency Response System Companies
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
09/14/2023
Last updated
09/15/2023
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