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Organization

MOJAVE CENTER FOR RECOVERY PLLC

Active
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Organization

MOJAVE CENTER FOR RECOVERY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERICA HARGRAVE DC (OWNER)
(480) 788-3424
Entity
Organization

Contact information

Practice address
5847 S 16TH ST, PHOENIX, AZ 85040-3512
(480) 788-2324
Mailing address
22719 S ELLSWORTH RD STE 104, QUEEN CREEK, AZ 85142-6128

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
02/28/2022
Last updated
02/28/2022
About Stedi
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  • Eligibility checks
  • EDI platform