Organization
CRISIS PREPARATION AND RECOVERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAMES BOYLAN LCSW (CEO)
(480) 804-0326
Entity
Organization
Contact information
Practice address
2314 S VAL VISTA DR STE 101, GILBERT, AZ 85295-5591
(480) 804-0326
(480) 887-9701
Mailing address
1400 E SOUTHERN AVE STE 735, TEMPE, AZ 85282-5699
(480) 804-0326
(480) 887-9701
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC10719
DHS LICENSE
AZ
Enumeration date
03/01/2021
Last updated
03/01/2021
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