Organization
INTEGRATED HEALTH AND RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANIE WILLIAMS FNP-C (NURSE PRACTITIONER)
(832) 574-7035
Entity
Organization
Contact information
Practice address
6344 E BROADWAY RD, MESA, AZ 85206-1634
(832) 210-4868
Mailing address
11201 N TATUM BLVD STE 300, PHOENIX, AZ 85028-6039
(602) 730-2209
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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