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Organization

FOUR PILLARS RECOVERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CODY KNUDSON (PARTNER)
(928) 228-0776
Entity
Organization

Contact information

Practice address
674 E WHITE MOUNTAIN BLVD, SUITE 1, PINETOP, AZ 85935
(928) 228-0776
(480) 240-9578
Mailing address
PO BOX 141, PINETOP, AZ 85935-0141
(928) 228-0776
(480) 240-9578

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
09/16/2025
Last updated
07/23/2026
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