Organization
NORTH STAR RECOVERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM FOX DNP (DNP/OWNER)
(623) 377-0825
Entity
Organization
Contact information
Practice address
19590 W SAN MIGUEL AVE, LITCHFIELD PARK, AZ 85340-5422
(623) 377-0825
Mailing address
19590 W SAN MIGUEL AVE, LITCHFIELD PARK, AZ 85340-5422
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
05/09/2022
Last updated
12/18/2023
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