Organization
WELLNESS AND RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY SHEPPARD SR. PRSS (CEO)
(602) 466-4696
Entity
Organization
Contact information
Practice address
2510 E PLEASANT LN, PHOENIX, AZ 85042-5161
(602) 466-4696
Mailing address
4321 E SAINT ANNE AVE, PHOENIX, AZ 85042-5232
(602) 466-4696
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
09/01/2024
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