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NPI Code Detail

MEDICARE: PARTNERS IN RECOVERY, LLC

MEDICARE: PARTNERS IN RECOVERY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Z135180OTHERAZMEDICARE PTAN

General Provider Information

NPI Number : 1083929095
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARTNERS IN RECOVERY, LLC
Provider Business Mailing Address
First Line : 924 N COUNTRY CLUB DR
Second Line :
City : MESA
State : AZ
Zip : 85201-4108
Country : US
Telephone Number : 480-969-3800
Fax Number : 480-644-1557
Provider Business Practice Location Address
First Line : 4330 E UNIVERSITY DR
Second Line :
City : MESA
State : AZ
Zip : 85205-7004
Country : US
Telephone Number : 480-218-3280
Fax Number : 480-324-2463
Authorized Official
Title or Position : VP, REVENUE OPTIMIZATION
Name : JENNIFER ANN BARRETT
Credential :
Telephone Number : 480-969-3800
Provider Enumeration Date : 08/13/2010
Last Update Date : 08/28/2023

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Directions to “PARTNERS IN RECOVERY, LLC ” Practice Location

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