# DESERT EDGE RECOVERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245676394
- **Authorized official:** MRS. NATALIE GREGORY MAPC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (602) 792-0019

## Contact information

- **Practice address:** 1950 W HEATHERBRAE DR, STE4, PHOENIX, AZ 85015
- **Practice address phone:** (602) 792-0019
- **Practice address fax:** (602) 279-5099
- **Mailing address:** 1950 W HEATHERBRAE DR, STE4, PHOENIX, AZ 85015
- **Mailing address phone:** (602) 792-0019
- **Mailing address fax:** (602) 279-5099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | BH-4075 | AZ | Yes |

## Other

- **Enumeration date:** 05/16/2013
- **Last updated:** 05/16/2013