| Rodtree West | |
|
726a E Monroe Ave Buckeye AZ 85326-2908 | |
| (602) 690-1643 | |
| Not Available |
| Full Name | Rodtree West |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 726a E Monroe Ave, Buckeye, Arizona |
| Authorized Official Name and Position | Rodney Lacerial Pearson (CEO) |
| Authorized Official Contact | 6026901643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodtree West 726a E Monroe Ave Buckeye AZ 85326-2908 Ph: (602) 690-1643 | Rodtree West 726a E Monroe Ave Buckeye AZ 85326-2908 Ph: (602) 690-1643 |
| NPI Number | 1417658832 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 03/13/2023 |
| Certification Date | 02/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417658832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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