| Vogue Recovery Center | |
|
4122 N 17th St Bldg C Phoenix AZ 85016-5922 | |
| (866) 313-5691 | |
| (602) 899-8012 |
| Full Name | Vogue Recovery Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4122 N 17th St Bldg C, Phoenix, Arizona |
| Authorized Official Name and Position | Vaun Williams (REGIONAL DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6023501166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vogue Recovery Center 4122 N 17th St Bldg B Phoenix AZ 85016-5922 Ph: (866) 313-5691 | Vogue Recovery Center 4122 N 17th St Bldg C Phoenix AZ 85016-5922 Ph: (866) 313-5691 |
| NPI Number | 1548981491 |
|---|---|
| Provider Enumeration Date | 09/08/2022 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548981491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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