Healthcare Provider Details

I. General information

NPI: 1922232925
Provider Name (Legal Business Name): PARTNERS IN RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2009
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10240 N 31ST AVE SUITE 101, 105, 109, 120, 200, 201, 218, 210A, 220
PHOENIX AZ
85051-9558
US

IV. Provider business mailing address

924 N COUNTRY CLUB DR
MESA AZ
85201-4108
US

V. Phone/Fax

Practice location:
  • Phone: 480-969-3800
  • Fax: 480-644-1557
Mailing address:
  • Phone: 480-969-3800
  • Fax: 480-644-1557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER ANN BARRETT
Title or Position: VP, REVENUE OPTIMIZATION
Credential:
Phone: 480-969-3800