| Right Path Recovery Llc | |
|
3338 E Fort Lowell Rd Tucson AZ 85716-1639 | |
| (404) 820-9690 | |
| Not Available |
| Full Name | Right Path Recovery Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3338 E Fort Lowell Rd, Tucson, Arizona |
| Authorized Official Name and Position | Willy Nganga (CEO) |
| Authorized Official Contact | 4048209690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Right Path Recovery Llc 3338 E Fort Lowell Rd Tucson AZ 85716-1639 Ph: () - | Right Path Recovery Llc 3338 E Fort Lowell Rd Tucson AZ 85716-1639 Ph: (404) 820-9690 |
| NPI Number | 1457089468 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/10/2022 |
| Medicare PECOS PAC ID | 9537516844 |
|---|---|
| Medicare Enrollment ID | O20231108001506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457089468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Fidelis Ebereonwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962005850 PECOS PAC ID: 5496160848 Enrollment ID: I20210216002696 |
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