| Partners In Recovery, Llc Mact West Valley Ihh | |
|
14100 North 83rd Avenue Suites 100 And 150 Peoria AZ 85381 | |
| (623) 583-3023 | |
| (623) 583-1830 |
| Full Name | Partners In Recovery, Llc Mact West Valley Ihh |
|---|---|
| Speciality | Clinic/center |
| Location | 14100 North 83rd Avenue, Peoria, Arizona |
| Authorized Official Name and Position | Latrice Shannon Hickman (CHIEF RISK AND COMPLIANCE OFFICER) |
| Authorized Official Contact | 4804319008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Partners In Recovery, Llc Mact West Valley Ihh 924 N Country Club Dr Mesa AZ 85201-4108 Ph: (480) 969-3800 | Partners In Recovery, Llc Mact West Valley Ihh 14100 North 83rd Avenue Suites 100 And 150 Peoria AZ 85381 Ph: (623) 583-3023 |
| NPI Number | 1831941962 |
|---|---|
| Provider Enumeration Date | 04/02/2024 |
| Last Update Date | 04/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831941962 | NPI | - | NPPES |
| BH3400 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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