Organization
PROJECT IMPACT RECOVERY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CHAPMAN (CEO)
(480) 772-7537
Entity
Organization
Contact information
Practice address
303 N CENTENNIAL WAY STE 101, MESA, AZ 85201-6733
(480) 269-8600
(480) 269-9700
Mailing address
303 N CENTENNIAL WAY STE 101, MESA, AZ 85201-6733
(480) 269-8600
(480) 269-9700
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
04/21/2026
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