Organization
CMJ RECOVERY AZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE VAYSBERG (AUTHORIZED REPRESENTATIVE)
(847) 345-5541
Entity
Organization
Contact information
Practice address
4122 N 17TH ST BLDG A, PHOENIX, AZ 85016-5922
(818) 304-8071
Mailing address
1590 S CONGRESS AVE, PALM SPRINGS, FL 33406-5957
(847) 345-5541
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
05/20/2025
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