Provider Demographics
NPI:1023795879
Name:CENTER FOR HEALTH AND RECOVERY
Entity type:Organization
Organization Name:CENTER FOR HEALTH AND RECOVERY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO , PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-256-0040
Mailing Address - Street 1:1950 W HEATHERBRAE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-5110
Mailing Address - Country:US
Mailing Address - Phone:623-256-0040
Mailing Address - Fax:
Practice Address - Street 1:1950 W HEATHERBRAE DR STE 10-1
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-5110
Practice Address - Country:US
Practice Address - Phone:602-246-7607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTER FOR HEALTH AND RECOVERY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-03
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty