Organization
CORE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA GOULET (DIRECTOR OF OPERATIONS)
(602) 810-1210
Entity
Organization
Contact information
Practice address
34225 N 27TH DR, BLDG. #5 STE. #146, PHOENIX, AZ 85085-6087
(602) 810-1210
Mailing address
34225 N 27TH DR, BLDG. #5 STE. #146, PHOENIX, AZ 85085-6087
(602) 810-1210
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2013
Last updated
02/10/2023
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