Organization
I SHALL RECOVER IT ALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE LOUISE JACKSON (CEO)
(602) 551-0659
Entity
Organization
Contact information
Practice address
6410 S 58TH AVE, LAVEEN, AZ 85339-2262
(602) 551-0659
Mailing address
6410 S 58TH AVE, LAVEEN, AZ 85339-2262
(602) 551-0659
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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