Organization
ANHARO LLC
Active
Other names
Juniper Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY BORDELON (CEO)
(425) 295-1010
Entity
Organization
Contact information
Practice address
1110 E ROUTE 66, SUITE 200, FLAGSTAFF, AZ 86001-4771
(425) 295-1010
Mailing address
1110 E ROUTE 66, SUITE 200, FLAGSTAFF, AZ 86001-4771
(425) 295-1010
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
OTC7650
AZ
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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