Organization
AC RECOVERY CENTER AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNET MUKAMURENZI (OWNER)
(520) 589-9974
Entity
Organization
Contact information
Practice address
4216-4218 W DUNLAP, PHOENIX, AZ 85051
(520) 589-9974
Mailing address
4216-4218 W DUNLAP, PHOENIX, AZ 85051
(520) 589-9974
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
207KA0200X
Allergy Physician
—
—
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/25/2023
Last updated
10/05/2023
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