| Faithland Recovery Center Llc | |
|
4425 W Olive Ave Ste 140 Glendale AZ 85302-3844 | |
| (626) 376-2975 | |
| (602) 532-7662 |
| Full Name | Faithland Recovery Center Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 4425 W Olive Ave Ste 140, Glendale, Arizona |
| Authorized Official Name and Position | Semi Anthony (OWNER) |
| Authorized Official Contact | 6263762975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faithland Recovery Center Llc 4425 W Olive Ave Ste 140 Glendale AZ 85302-3844 Ph: (626) 376-2975 | Faithland Recovery Center Llc 4425 W Olive Ave Ste 140 Glendale AZ 85302-3844 Ph: (626) 376-2975 |
| NPI Number | 1821787631 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 07/25/2025 |
| Certification Date | 07/25/2025 |
| Medicare PECOS PAC ID | 8325488844 |
|---|---|
| Medicare Enrollment ID | O20240501002495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821787631 | NPI | - | NPPES |
| Provider Name | Reyes R Topete |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1487611158 PECOS PAC ID: 3274529813 Enrollment ID: I20040421000443 |
| Provider Name | Annette D Bunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831265354 PECOS PAC ID: 4183694433 Enrollment ID: I20110310000615 |
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