| Nirvana Recovery Llc | |
|
21725 N 20th Ave Phoenix AZ 85027-2640 | |
| (480) 805-8927 | |
| (480) 805-8954 |
| Full Name | Nirvana Recovery Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 21725 N 20th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Laura B Hulcher (CEO) |
| Authorized Official Contact | 4805996477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nirvana Recovery Llc 21725 N 20th Ave Phoenix AZ 85027-2640 Ph: (480) 805-8927 | Nirvana Recovery Llc 21725 N 20th Ave Phoenix AZ 85027-2640 Ph: (480) 805-8927 |
| NPI Number | 1093439259 |
|---|---|
| Provider Enumeration Date | 09/30/2022 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093439259 | NPI | - | NPPES |
| OTC13162 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES |
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