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General NPI Number Information
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NPI Number | 1578170999
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Entity Type | Organization
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Legal Business Name | ARIZONA CENTER FOR RECOVERY- A NEW DIRECTION
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Dates
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Enumeration Date | 09/29/2020
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 2491 W JEFFERSON RD
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City | ELFRIDA
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State | AZ
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Zip | 85610
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Country | US
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Telephone | 866-986-2550
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Fax | 855-275-5428
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Provider Business Mailing Address
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Address Line | 2942 N 24TH ST STE 115
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City | PHOENIX
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State | AZ
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Zip | 85016-7849
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Country | US
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Telephone | 866-986-2550
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LAURA FEDELE
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Credential |
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Telephone | 512-318-0558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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