Organization · Type 2 NPI

Divergent Recovery LLC

Community/Behavioral Health Agency · Goodyear, AZ

NPI number 1104554864 Active

Practice location

15655 W Roosevelt St Ste 100
Goodyear, AZ 85338-9311

Call (480) 336-0507 Map

Mailing address

8140 W Mission Ln
Peoria, AZ 85345-4829

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1104554864

Divergent Recovery LLC's National Provider Identifier is 1104554864, issued on Aug 10, 2022. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Goodyear, AZ. The record was last updated on Aug 10, 2022.