Organization
WINR WOMEN IN NEW RECOVERY
Active
Other names
Amazing Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA HENDERSON (CEO)
(480) 464-5764
Entity
Organization
Contact information
Practice address
860 N CENTER ST, MESA, AZ 85201-4201
(480) 464-5764
(480) 834-5372
Mailing address
860 N. CENTER STREET, MESA, AZ 85201
(480) 464-5764
(480) 834-5372
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
BH-3591
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160168
—
AZ
Enumeration date
09/29/2010
Last updated
05/03/2017
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