Healthcare Provider Details

I. General information

NPI: 1174460505
Provider Name (Legal Business Name): I SHALL RECOVER IT ALL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 S 58TH AVE
LAVEEN AZ
85339-2262
US

IV. Provider business mailing address

6410 S 58TH AVE
LAVEEN AZ
85339-2262
US

V. Phone/Fax

Practice location:
  • Phone: 602-551-0659
  • Fax:
Mailing address:
  • Phone: 602-551-0659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: JANICE LOUISE JACKSON
Title or Position: CEO
Credential:
Phone: 602-551-0659