Organization
CMJ RECOVERY AZ LLC
Active
Parent organization
IFBH10302
Other names
Vogue Recovery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
IFBH10302
Authorized official
BRUCE WORTHINGTON MBA (DIRECTOR, REVENUE CYCLE MANAGEMENT)
(561) 858-8263
Entity
Organization
Contact information
Practice address
4122 N 17TH ST BLDG C, PHOENIX, AZ 85016-5922
(866) 313-5691
(602) 899-8012
Mailing address
4122 N 17TH ST BLDG B, PHOENIX, AZ 85016-5922
(866) 313-5691
(602) 899-8012
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
09/08/2022
Last updated
03/23/2026
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