Organization
DIVERGENT RECOVERY LLC
Active
Organization
DIVERGENT RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARRETT DEETZ (OWNER)
(480) 336-0507
Entity
Organization
Contact information
Practice address
15655 W ROOSEVELT ST STE 100, GOODYEAR, AZ 85338-9311
(480) 336-0507
Mailing address
8140 W MISSION LN, PEORIA, AZ 85345-4829
(480) 336-0507
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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