Organization
ARIZONA RECOVERY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY VONA FNP-C (NURSE PRACTITONER/OWNER)
(289) 733-5101
Entity
Organization
Contact information
Practice address
84 ACOMA BLVD N STE 104, LAKE HAVASU CITY, AZ 86403-6096
(928) 351-3030
Mailing address
84 ACOMA BLVD N STE 104, LAKE HAVASU CITY, AZ 86403-6096
(928) 733-5101
(928) 235-5588
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/10/2019
Last updated
01/15/2021
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