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Organization

FAVORABLE HOUSE OF DOVES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY WADE (OWNER)
(623) 980-7212
Entity
Organization

Contact information

Practice address
3803 S 54TH LN, PHOENIX, AZ 85043-4769
(623) 980-7212
Mailing address
3803 S 54TH LN, PHOENIX, AZ 85043-4769
(623) 980-7212

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
172A00000X
Driver
225C00000X
Rehabilitation Counselor

Other

Enumeration date
12/19/2022
Last updated
12/19/2022
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