Organization
DESERT EDGE RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATALIE GREGORY MAPC (EXECUTIVE DIRECTOR)
(602) 792-0019
Entity
Organization
Contact information
Practice address
1950 W HEATHERBRAE DR, STE4, PHOENIX, AZ 85015
(602) 792-0019
(602) 279-5099
Mailing address
1950 W HEATHERBRAE DR, STE4, PHOENIX, AZ 85015
(602) 792-0019
(602) 279-5099
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
BH-4075
AZ
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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