institution
Vogue Recovery Center, Llc
Substance Abuse Rehabilitation Facility in Phoenix, Arizona
NPI 1417456336

Vogue Recovery Center, Llc is a Substance Abuse Rehabilitation Facility based in Van Nuys, AZ. Vogue Recovery Center, Llc practices in Phoenix, AZ. The NPI Number for Vogue Recovery Center, Llc is 1417456336 and holds a License No. BH5357 (Arizona).

The current practice location address for Vogue Recovery Center, Llc is 4122 N 17Th St, Phoenix, AZ and can be reached out via phone at 818-916-8116.

Location: 4122 N 17Th St, Phoenix, AZ, 91406-3757
institution
Provider Profile Details
NPI Number
1417456336
Provider Name
Vogue Recovery Center, Llc
Credential
Provider Entity Type
Organization
Address
4122 N 17Th St, Phoenix, AZ, 91406-3757
Phone Number
818-916-8116
Fax Number
Provider Enumeration Date
02/06/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH5357 01 AZ ARIZONA DEPARTMENT OF HEALTH SERVICES
institution
Provider Business Practice Location Address Details
Address
4122 N 17Th St
City
State
Zip
85016-5922
Phone Number
818-916-8116
Fax Number
person
Provider Business Mailing Address Details
Address
4122 N 17Th St
City
State
Zip
85016-5922
Phone Number
818-916-8116
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
BH5357 (Arizona)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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