| Phoenix Recovery Homes | |
|
961 W Fogal Way Tempe AZ 85282-4727 | |
| (480) 459-4936 | |
| (602) 532-7076 |
| Full Name | Phoenix Recovery Homes |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 961 W Fogal Way, Tempe, Arizona |
| Authorized Official Name and Position | Andrew Kisekka (ADMINISTRATOR) |
| Authorized Official Contact | 6612892180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Recovery Homes 961 W Fogal Way Tempe AZ 85282-4727 Ph: (480) 459-4936 | Phoenix Recovery Homes 961 W Fogal Way Tempe AZ 85282-4727 Ph: (480) 459-4936 |
| NPI Number | 1588346753 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588346753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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