| Core Recovery Llc | |
|
16515 S 40th St Ste 119b Phoenix AZ 85048-0559 | |
| (602) 810-1210 | |
| (480) 247-5625 |
| Full Name | Core Recovery Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 16515 S 40th St Ste 119b, Phoenix, Arizona |
| Authorized Official Name and Position | Jaime Bogovich (OPERATIONS) |
| Authorized Official Contact | 5186983757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Recovery Llc 16515 S 40th St Ste 119b Phoenix AZ 85048-0559 Ph: (602) 810-1210 | Core Recovery Llc 16515 S 40th St Ste 119b Phoenix AZ 85048-0559 Ph: (602) 810-1210 |
| NPI Number | 1073386355 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073386355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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