Organization
SMC RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CARLTON M.D. (MEDICAL DIRECTOR)
(480) 998-4673
Entity
Organization
Contact information
Practice address
10207 N SCOTTSDALE RD, SCOTTSDALE, AZ 85253-1424
(480) 998-4673
(480) 383-6363
Mailing address
10207 N SCOTTSDALE RD, SCOTTSDALE, AZ 85253-1424
(480) 998-4673
(480) 383-6363
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
OTC6845
AZ
324500000X
Substance Abuse Rehabilitation Facility
OTC6845
AZ
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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