Organization
JACK RYAN RECOVERY CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CHRISTOPHER RYAN LAC (MANAGING DIRECTOR)
(520) 373-2457
Entity
Organization
Contact information
Practice address
825 S DOBSON RD STE 102, MESA, AZ 85202-2901
(520) 373-2457
Mailing address
6479 US HIGHWAY 93 S, WHITEFISH, MT 59937-8238
(520) 373-2457
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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