Transitional Living Center Recovery | |
117 E 2nd St Casa Grande AZ 85222-5477 | |
(520) 509-6305 | |
Not Available |
Full Name | Transitional Living Center Recovery |
---|---|
Speciality | Community/behavioral Health |
Location | 117 E 2nd St, Casa Grande, Arizona |
Authorized Official Name and Position | Brooke Anne Keith (EXECUTIVE) |
Authorized Official Contact | 3057209249 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Transitional Living Center Recovery 1340 S 4th Ave Yuma AZ 85364-4626 Ph: (520) 413-9941 | Transitional Living Center Recovery 117 E 2nd St Casa Grande AZ 85222-5477 Ph: (520) 509-6305 |
NPI Number | 1568696565 |
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Provider Enumeration Date | 05/06/2009 |
Last Update Date | 06/07/2024 |
Certification Date | 06/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568696565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | CSA09ADHS0202 2 (Arizona) | Primary |
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