Organization
LIFETORCH RECOVERY CENTER & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY LAGAT (OWNER)
(952) 564-1263
Entity
Organization
Contact information
Practice address
1041 W SOLANA AVE, AJO, AZ 85321-2337
(952) 564-1263
Mailing address
423 N CRESTON APT 260, MESA, AZ 85213-7085
(952) 564-1263
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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