Organization
TRANSITIONAL RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MCNEAL BS (CO /OWNER)
(602) 718-8809
Entity
Organization
Contact information
Practice address
16165 N 83RD AVE STE 200, PEORIA, AZ 85382-5816
(602) 761-6221
Mailing address
5820 N 130TH AVE, LITCHFIELD PARK, AZ 85340-3088
(602) 761-6221
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
AZ
05
—
104100000X
—
AZ
05
—
174200000X
—
AZ
05
—
251B00000X
—
AZ
05
—
251S00000X
—
AZ
05
—
253200000X
—
AZ
05
—
261QM0801X
—
AZ
05
—
261QM0850X
—
AZ
05
—
332800000X
—
AZ
Enumeration date
09/12/2022
Last updated
09/12/2022
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