Organization
RENEWED PATH LLC
Active
Other names
Renewed Path
Organization subpart
No
Provider details
NPI number
Authorized official
ARTISHA HEARD (OWNER)
(602) 727-4431
Entity
Organization
Contact information
Practice address
515 W BUCKEYE RD STE 105, PHOENIX, AZ 85003-2648
(602) 727-4431
Mailing address
515 W BUCKEYE RD STE 105, PHOENIX, AZ 85003-2648
(602) 727-4431
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
01/29/2025
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