Organization
WAGONER CARE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWEN WRIGHT (COO)
(480) 577-6274
Entity
Organization
Contact information
Practice address
2022 N PACEY RD, PHOENIX, AZ 85037-6301
(480) 577-6274
Mailing address
2022 N PACEY RD, PHOENIX, AZ 85037-6301
(480) 577-6274
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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