| On Track Recovery Llc | |
|
1414 W Broadway Rd Ste 145 Tempe AZ 85282-1142 | |
| (786) 377-4925 | |
| Not Available |
| Full Name | On Track Recovery Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1414 W Broadway Rd Ste 145, Tempe, Arizona |
| Authorized Official Name and Position | Brian Karow (COO) |
| Authorized Official Contact | 7863774925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| On Track Recovery Llc 1414 W Broadway Rd Ste 145 Tempe AZ 85282-1142 Ph: (786) 377-4925 | On Track Recovery Llc 1414 W Broadway Rd Ste 145 Tempe AZ 85282-1142 Ph: (786) 377-4925 |
| NPI Number | 1073213666 |
|---|---|
| Provider Enumeration Date | 03/03/2023 |
| Last Update Date | 03/14/2023 |
| Certification Date | 03/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073213666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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