| Park Place Recovery And Wellness Center Llc | |
|
13916 N 135th Dr Surprise AZ 85379-8428 | |
| (623) 462-8187 | |
| Not Available |
| Full Name | Park Place Recovery And Wellness Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 13916 N 135th Dr, Surprise, Arizona |
| Authorized Official Name and Position | Tara L Chase (CEO) |
| Authorized Official Contact | 6234628187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Place Recovery And Wellness Center Llc 13916 N 135th Dr Surprise AZ 85379-8428 Ph: () - | Park Place Recovery And Wellness Center Llc 13916 N 135th Dr Surprise AZ 85379-8428 Ph: (623) 462-8187 |
| NPI Number | 1316712441 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 11/20/2023 |
| Certification Date | 11/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316712441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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