Healthcare Provider Details

I. General information

NPI: 1831788496
Provider Name (Legal Business Name): ACHIEVE RECOVERY CENTER P L L C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2021
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19590 W SAN MIGUEL AVE
LITCHFIELD PARK AZ
85340-5422
US

IV. Provider business mailing address

19590 W SAN MIGUEL AVE
LITCHFIELD PARK AZ
85340-5422
US

V. Phone/Fax

Practice location:
  • Phone: 623-377-0825
  • Fax:
Mailing address:
  • Phone: 623-377-0825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM FOX
Title or Position: OWNER/PROVIDER
Credential: DNP
Phone: 623-377-0825