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Organization
PHOENICIAN RECOVERY CENTER LLC
Active
Organization
PHOENICIAN RECOVERY CENTER LLC
Active
Other names
Phoenician recovery center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA MENDEZ (OWNER)
(602) 363-8564
Entity
Organization
Contact information
Practice address
8031 S 7TH AVE, PHOENIX, AZ 85041-7904
(602) 363-8564
Mailing address
8031 S 7TH AVE, PHOENIX, AZ 85041-7904
(602) 363-8564
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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