Organization
RECOVERY EMPOWERMENT NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN ELISA ANTTILAINEN (COMPLIANCE & CREDENTIALING COOR)
(602) 248-0368
Entity
Organization
Contact information
Practice address
212 E. OSBORN RD, PHOENIX, AZ 85012
(602) 248-0368
(602) 279-2806
Mailing address
212 E. OSBORN RD, PHOENIX, AZ 85012
(602) 248-0368
(602) 279-2806
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
CSA08ADHS0187
AZ
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073523
—
AZ
Enumeration date
08/28/2008
Last updated
01/13/2014
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