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PHOENIX RECOVERY CLINIC LLC
NPI 1790503829
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Yuma, AZ

Active since September 27, 2024

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Recovery Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX RECOVERY CLINIC LLC (NPI 1790503829), doing business as Phoenix Recovery Center, is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Yuma, Arizona and active in the NPI registry since September 2024. The organization lists Carlos Alberto Munoz Rodriguez, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1790503829
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePHOENIX RECOVERY CLINIC LLC
Location Address842 S 2ND AVEYuma, AZ 85364-3910
Mailing Address842 S 2nd AveYuma, AZ 85364-3910 · (480) 200-0222
Phone(480) 200-0222
Organization SubpartNo
Authorized OfficialCarlos Alberto Munoz RodriguezOwner/administrator · (480) 200-0222
Enumeration DateSeptember 27, 2024
NPPES CertifiedSeptember 27, 2024
✔ NPI 1790503829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
842 S 2ND AVE, Yuma, AZ 85364
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Other Names 1

Doing Business AsPhoenix Recovery Center

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Recovery Clinic LLC's NPI number?

The NPI number for Phoenix Recovery Clinic LLC is 1790503829. It was assigned to this organization in the NPPES registry on September 27, 2024. The provider is doing business as Phoenix Recovery Center.

Where is Phoenix Recovery Clinic LLC located?

Phoenix Recovery Clinic LLC is located at 842 S 2nd Ave, Yuma, AZ 85364. The listed phone number is (480) 200-0222.

What is Phoenix Recovery Clinic LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Phoenix Recovery Clinic LLC was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.