Organization
MARICOPA RECOVERY CENTER LLC
Active
Organization
MARICOPA RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN SUKIASYAN (AUTHORIZED OFFICIAL)
(424) 200-0004
Entity
Organization
Contact information
Practice address
1620 N 48TH ST, PHOENIX, AZ 85008-7723
(424) 200-0004
Mailing address
1620 N 48TH ST, PHOENIX, AZ 85008-7723
(424) 200-0004
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/19/2023
Last updated
10/20/2023
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