Organization
IRONWOOD RECOVERY COLLECTIVE LLC
Active
Other names
IRONWOOD RECOVERY COLLECTIVE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM GLOVER (OWNER)
(123) 456-7890
Entity
Organization
Contact information
Practice address
2929 N POWER RD STE 101O, MESA, AZ 85215-1746
(123) 456-7890
Mailing address
2929 N POWER RD STE 101O, MESA, AZ 85215-1746
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
06/27/2025
Last updated
07/16/2025
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