Organization
HERITAGE RECOVERY TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORRICE TINDIMUBONA (OWNER)
(747) 463-9226
Entity
Organization
Contact information
Practice address
1717 W NORTHERN AVE STE 200B, PHOENIX, AZ 85021-5469
(747) 463-9226
Mailing address
1717 W NORTHERN AVE STE 200B, PHOENIX, AZ 85021-5469
(747) 463-9226
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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