Individual
MARIO TORREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2239 W DANBURY RD, PHOENIX, AZ 85023-2230
(602) 603-4717
Mailing address
4221 N 31ST ST, PHOENIX, AZ 85016-5818
(623) 695-4064
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235706243
—
AZ
Enumeration date
08/03/2023
Last updated
08/03/2023
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