Organization
365 RECOVERY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO ALVAREZ (RN)
(480) 246-4676
Entity
Organization
Contact information
Practice address
11225 N 28TH DR STE D220B, PHOENIX, AZ 85029-5697
(480) 865-4762
(520) 455-3200
Mailing address
11225 N 28TH DR STE D220B, PHOENIX, AZ 85029-5697
(480) 865-4762
(520) 455-3200
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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