| Jack Ryan Recovery Centers | |
|
825 S Dobson Rd Ste 102 Mesa AZ 85202-2901 | |
| (520) 373-2457 | |
| Not Available |
| Full Name | Jack Ryan Recovery Centers |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 825 S Dobson Rd Ste 102, Mesa, Arizona |
| Authorized Official Name and Position | John Christopher Ryan (MANAGING DIRECTOR) |
| Authorized Official Contact | 5203732457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Ryan Recovery Centers 6479 Us Highway 93 S Whitefish MT 59937-8238 Ph: (520) 373-2457 | Jack Ryan Recovery Centers 825 S Dobson Rd Ste 102 Mesa AZ 85202-2901 Ph: (520) 373-2457 |
| NPI Number | 1578330114 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578330114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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