Organization · Type 2 NPI
Lifetorch Recovery Center & Wellness LLC
Substance Use Disorder Rehabilitation Clinic/Center · Ajo, AZ
NPI number
1104608751
Active
Practice location
1041 W Solana Ave
Ajo, AZ 85321-2337
Mailing address
423 N Creston Apt 260
Mesa, AZ 85213-7085
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 Use Disorder Rehabilitation Clinic/Center: Definition to come...
Another provider at this address
About NPI 1104608751
Lifetorch Recovery Center & Wellness LLC's National Provider Identifier is 1104608751, issued on Oct 18, 2023. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Ajo, AZ. The record was last updated on Oct 18, 2023.