Organization
HOPE LIGHT CARE RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGRET WAITHAKA (OWNER)
(480) 734-9144
Entity
Organization
Contact information
Practice address
5060 N 19TH AVE STE 118, PHOENIX, AZ 85015-3211
(480) 734-9144
Mailing address
5060 N 19TH AVE STE 118, PHOENIX, AZ 85015-3211
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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