Organization · Type 2 NPI
Nirvana Recovery LLC
Substance Use Disorder Rehabilitation Clinic/Center · Phoenix, AZ
NPI number
1093439259
Active
Practice location
21725 N 20th Ave
Phoenix, AZ 85027-2640
Fax (480) 805-8954
Other practice locations
- 15852 N 17th St, Phoenix, AZ 85022-3365 · (602) 662-2287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1093439259
Nirvana Recovery LLC's National Provider Identifier is 1093439259, issued on Sep 30, 2022. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 23, 2026.