Organization
OASIS RECOVERY HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO OLVERA (OWNER)
(602) 574-3343
Entity
Organization
Contact information
Practice address
9645 N 11TH AVE, PHOENIX, AZ 85021-3066
(602) 299-7561
Mailing address
3541 W VOGEL AVE, PHOENIX, AZ 85051-1262
(602) 574-3343
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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