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Organization

REBIRTH CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK STANLEY (AGENT)
(602) 731-5188
Entity
Organization

Contact information

Practice address
9023 W HUBBELL ST, PHOENIX, AZ 85037-3882
(623) 440-1023
Mailing address
9023 W HUBBELL ST, PHOENIX, AZ 85037-3882

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
01/20/2022
Last updated
05/22/2023
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