Organization
THE LIGHT RECOVERY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID KENNETH DAKA (MANAGER/DIRECTOR)
(562) 583-6835
Entity
Organization
Contact information
Practice address
2538 E UNIVERSITY DR STE 280, PHOENIX, AZ 85034-6947
(602) 354-7514
(602) 354-7519
Mailing address
2538 E UNIVERSITY DR STE 280, PHOENIX, AZ 85034-6947
(602) 354-7514
(602) 354-7519
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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