Organization
MOJAVE COMPLETE RECOVERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA HARGRAVE (OWNER)
(719) 351-3586
Entity
Organization
Contact information
Practice address
1010 E MCDOWELL RD STE 410, PHOENIX, AZ 85006-2606
(719) 351-3586
Mailing address
1891 E SAGITTARIUS PL, CHANDLER, AZ 85249-3753
(480) 788-3424
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
03/19/2024
Last updated
10/03/2024
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