Organization
FAITHLAND RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEMI ANTHONY (OWNER)
(626) 376-2975
Entity
Organization
Contact information
Practice address
4425 W OLIVE AVE STE 140, GLENDALE, AZ 85302-3844
(626) 376-2975
(602) 532-7662
Mailing address
4425 W OLIVE AVE STE 140, GLENDALE, AZ 85302-3844
(626) 376-2975
(602) 532-7662
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
07/25/2025
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