Organization
CIRCLES OF RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BOULAY MSAC (OWNER)
(480) 356-4370
Entity
Organization
Contact information
Practice address
18256 E WILLIAMS FIELD RD, GILBERT, AZ 85295-6801
(480) 356-4370
Mailing address
20211 E VIA DEL ORO, QUEEN CREEK, AZ 85142-6270
(480) 476-1129
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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