Organization
EMBARK RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR H WOOD (EXECUTIVE DIRECTOR)
(928) 445-0778
Entity
Organization
Contact information
Practice address
7900 E GREENWAY RD STE 214, SCOTTSDALE, AZ 85260-1715
(928) 445-0778
(928) 445-0780
Mailing address
PO BOX 12341, GLENDALE, AZ 85318-2341
(928) 445-0778
(928) 445-0780
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
OTC 7091
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20327
OTC
AZ
05
—
520332
—
AZ
Enumeration date
03/20/2015
Last updated
01/14/2026
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