Organization
ASCEND RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEKOU JACKSON MPA (ADMINISTRATOR)
(623) 293-7792
Entity
Organization
Contact information
Practice address
2301 E PORTLAND ST, PHOENIX, AZ 85006-3154
(623) 882-4513
Mailing address
3104 E CAMELBACK RD # 2717, PHOENIX, AZ 85016-4502
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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