Organization
PARTNERS IN RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BROOKS (RCM)
(480) 969-3800
Entity
Organization
Contact information
Practice address
811 N TEGNER ST., SUITE 121 & 123 & 125, WICKENBURG, AZ 85390-2268
(480) 969-3800
(480) 644-1557
Mailing address
924 N COUNTRY CLUB DR, MESA, AZ 85201-4108
(480) 969-3800
(480) 644-1557
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z135180
MEDICARE PTAN
AZ
Enumeration date
05/06/2009
Last updated
09/30/2024
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