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General NPI Number Information
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NPI Number | 1619505054
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Entity Type | Organization
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Legal Business Name | JOY RECOVERY AND BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 04/04/2020
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Provider Practice Location Address
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Address Line | 24212 N 42ND DR
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City | GLENDALE
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State | AZ
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Zip | 85310-3232
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Country | US
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Telephone | 623-628-7026
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Fax |
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Provider Business Mailing Address
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Address Line | 17738 W DAHLIA DR
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City | SURPRISE
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State | AZ
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Zip | 85388-5663
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Country | US
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Telephone | 623-628-7026
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR, BHP
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Name | JENNIFER GOVAN
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Credential | MSPC, LASAC
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Telephone | 623-628-7026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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