Organization
TELLURIAN HEALTH SERVICES, LLC
Active
Other names
BRAVO RECOVERY HOME
Organization subpart
No
Provider details
NPI number
Authorized official
NASSON NATHAN (ADMINISTRATOR)
(480) 430-5491
Entity
Organization
Contact information
Practice address
4215 E PARADISE LN, PHOENIX, AZ 85032-3330
(480) 430-5491
Mailing address
3849 E SHEENA DR, PHOENIX, AZ 85032-5732
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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