Organization
NAZARENE RESTORATION HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY DAVIS (ADMINISTRATOR)
(602) 612-4837
Entity
Organization
Contact information
Practice address
2450 W GLENROSA AVE UNIT 24, PHOENIX, AZ 85015-4989
(602) 612-4837
Mailing address
2450 W GLENROSA AVE UNIT 24, PHOENIX, AZ 85015-4989
(602) 612-4837
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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