| Milestone Recovery Transitional Living | |
|
7340 W Bethany Home Rd Glendale AZ 85303-4321 | |
| (520) 329-3283 | |
| Not Available |
| Full Name | Milestone Recovery Transitional Living |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 7340 W Bethany Home Rd, Glendale, Arizona |
| Authorized Official Name and Position | Wellengten Jenkins (MEMBER-MANAGER) |
| Authorized Official Contact | 6024216667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milestone Recovery Transitional Living 8751 N 51st Ave Ste 108 Glendale AZ 85302-4943 Ph: (602) 421-6667 | Milestone Recovery Transitional Living 7340 W Bethany Home Rd Glendale AZ 85303-4321 Ph: (520) 329-3283 |
| NPI Number | 1871172536 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 04/07/2021 |
| Certification Date | 04/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871172536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Primary |
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