Organization
OBIFIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY CHRISTIAN STEWART (MANAGER)
(480) 330-0543
Entity
Organization
Contact information
Practice address
5302 E VAN BUREN ST, PHOENIX, AZ 85008-7965
(480) 330-0543
Mailing address
5302 E VAN BUREN ST, PHOENIX, AZ 85008-7965
(480) 330-0543
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
07/21/2022
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