Organization
MODERN RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA STINER (BILLING DIRECTOR)
(602) 694-9643
Entity
Organization
Contact information
Practice address
702 HOUSTON ST # 118, FORT WORTH, TX 76102-5004
(203) 200-8556
Mailing address
11445 E VIA LINDA STE 2-617, SCOTTSDALE, AZ 85259-2655
(602) 694-9643
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
12/11/2025
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