# TRAUMA PREVENTION AND RECOVERY LLC

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

## Provider details

- **NPI number:** 1396498812
- **Authorized official:** TIERRA NATE ABDULLAH (OWNER)
- **Authorized official phone:** (480) 577-8164

## Contact information

- **Practice address:** 1137 W MCDOWELL RD, PHOENIX, AZ 85007-1747
- **Practice address phone:** (480) 577-8164
- **Mailing address:** 4504 E WOOD ST, PHOENIX, AZ 85040-9204
- **Mailing address phone:** (480) 577-8164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 02/03/2022
- **Last updated:** 09/27/2024