Organization
POWER RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TITUS KIMANI (OWNER)
(858) 386-6705
Entity
Organization
Contact information
Practice address
1137 W MCDOWELL RD, PHOENIX, AZ 85007-1747
(480) 572-8189
(480) 546-3376
Mailing address
5625 W EUCLID AVE, LAVEEN, AZ 85339-5247
(858) 386-6705
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
11/27/2024
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