Organization
RENE'S CARE FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE BULLOCK (OWNER)
(510) 772-1117
Entity
Organization
Contact information
Practice address
4040 E MCDOWELL RD STE 211, PHOENIX, AZ 85008-4438
(602) 471-3769
Mailing address
4040 E MCDOWELL RD STE 211, PHOENIX, AZ 85008-4438
(602) 471-3769
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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