Organization · Type 2 NPI
Lifetorch Recovery Center & Wellness LLC
Rural Health Clinic/Center · Ajo, AZ
NPI number
1760101794
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 |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
Another provider at this address
About NPI 1760101794
Lifetorch Recovery Center & Wellness LLC's National Provider Identifier is 1760101794, issued on Aug 23, 2022. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Ajo, AZ. The record was last updated on Nov 26, 2022.