| Transitional Living Center Recovery | |
|
117 E 2nd St Casa Grande AZ 85222-5477 | |
| (520) 509-6305 | |
| Not Available |
| Full Name | Transitional Living Center Recovery |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 117 E 2nd St, Casa Grande, Arizona |
| Authorized Official Name and Position | Anthony Joseph Alberta (PRESIDENT) |
| Authorized Official Contact | 6023690075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitional Living Center Recovery 1444 S 4th Ave Yuma AZ 85364-4604 Ph: (928) 261-8668 | Transitional Living Center Recovery 117 E 2nd St Casa Grande AZ 85222-5477 Ph: (520) 509-6305 |
| NPI Number | 1568696565 |
|---|---|
| Provider Enumeration Date | 05/06/2009 |
| Last Update Date | 05/11/2023 |
| Certification Date | 05/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568696565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSA09ADHS0202 2 (Arizona) | Primary |
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