Organization
RECOVERY EMPOWERMENT NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAYE TOLMAN (CHIEF EXECUTIVE OFFICER)
(602) 248-0368
Entity
Organization
Contact information
Practice address
10 E MITCHELL DR, PHOENIX, AZ 85012-2330
(602) 248-0368
Mailing address
212 E OSBORN RD, PHOENIX, AZ 85012-2364
(602) 248-0368
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073523
—
AZ
Enumeration date
04/07/2015
Last updated
04/07/2015
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