Organization
MICRODOT RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHOLLETA MENJA DNP,PMHNP-BC (BHP)
(480) 232-8260
Entity
Organization
Contact information
Practice address
5529 W PASEO WAY, LAVEEN, AZ 85339-3161
(480) 232-8260
(602) 225-2201
Mailing address
5723 W PUEBLO AVE, PHOENIX, AZ 85043-6404
(480) 232-8260
(602) 225-2201
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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