Organization
EVOKE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK VALDEZ (CHIEF ADMINISTRATOR)
(480) 257-0656
Entity
Organization
Contact information
Practice address
1600 W CHANDLER BLVD STE 230, CHANDLER, AZ 85224-6162
(480) 800-2530
(480) 800-2531
Mailing address
630 E DEER CREEK RD, PHOENIX, AZ 85048-0196
(480) 257-0656
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007227
—
AZ
Enumeration date
09/08/2020
Last updated
01/26/2024
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