Organization
PHOENIX ADDICTION RECOVERY LLC
Active
Other names
PAR
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN POTHIER (OWNER)
(602) 501-8097
Entity
Organization
Contact information
Practice address
4135 S POWER RD STE 113, MESA, AZ 85212-3625
(602) 501-8097
Mailing address
1839 E MALLORY ST, MESA, AZ 85203-1329
(602) 501-8097
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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