Organization
PARK PLACE RECOVERY AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA L CHASE LAC, MS (CEO)
(623) 462-8187
Entity
Organization
Contact information
Practice address
13916 N 135TH DR, SURPRISE, AZ 85379-8428
(623) 462-8187
Mailing address
13916 N 135TH DR, SURPRISE, AZ 85379-8428
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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