Organization
66 SMART LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BAILEY LMT (OWNER)
(817) 797-2058
Entity
Organization
Contact information
Practice address
4225 US HIGHWAY 68 STE F, GOLDEN VALLEY, AZ 86413-8116
(928) 404-5350
Mailing address
4225 US HIGHWAY 68 STE F, GOLDEN VALLEY, AZ 86413-8116
(928) 404-5350
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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