Organization
MINDFUL RECOVERY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIKEZIE ESIONE (MANAGER)
(203) 823-2033
Entity
Organization
Contact information
Practice address
4688 W TANGERINE RD APT 18107, MARANA, AZ 85658-4903
(203) 823-2033
Mailing address
4688 W TANGERINE RD APT 18107, MARANA, AZ 85658-4903
(203) 823-2033
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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