Organization
PEER OUTREACH, RECOVERY & REENTRY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL THOMAS ROBINSON LCHW,PRSS (CEO)
(602) 816-1493
Entity
Organization
Contact information
Practice address
423 N COUNTRY CLUB DR STE 34, MESA, AZ 85201-5725
(602) 816-1493
Mailing address
11333 N 92ND ST UNIT 2088, SCOTTSDALE, AZ 85260-6156
(602) 816-1493
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251300000X
Local Education Agency (LEA)
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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