Organization
PHOENIX RECOVERY CLINIC LLC
Active
Other names
PHOENIX RECOVERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS ALBERTO MUNOZ RODRIGUEZ (OWNER/ADMINISTRATOR)
(480) 200-0222
Entity
Organization
Contact information
Practice address
842 S 2ND AVE, YUMA, AZ 85364-3910
(480) 200-0222
Mailing address
842 S 2ND AVE, YUMA, AZ 85364-3910
(480) 200-0222
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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