| Lifetorch Recovery Center & Wellness Llc | |
|
1041 W Solana Ave Ajo AZ 85321-2337 | |
| (952) 564-1263 | |
| Not Available |
| Full Name | Lifetorch Recovery Center & Wellness Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1041 W Solana Ave, Ajo, Arizona |
| Authorized Official Name and Position | Emily Lagat (OWNER) |
| Authorized Official Contact | 9525641263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetorch Recovery Center & Wellness Llc 423 N Creston Apt 260 Mesa AZ 85213-7085 Ph: (952) 564-1263 | Lifetorch Recovery Center & Wellness Llc 1041 W Solana Ave Ajo AZ 85321-2337 Ph: (952) 564-1263 |
| NPI Number | 1104608751 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104608751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
Sgl Counseling & Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1341 W North St, Ajo, AZ 85321 Phone: 520-349-4907 | |
Lifetorch Recovery Center & Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1041 W Solana Ave, Ajo, AZ 85321 Phone: 952-564-1263 |