Divergent Recovery Llc

LBN: Divergent Recovery Llc
Divergent Recovery Llc is an health care organization with primary practice located at 15655 W Roosevelt St Ste 100 , Goodyear AZ 85338-9311. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Divergent Recovery Llc can be contacted via phone (480) 336-0507, or through Deetz, Garrett via phone (480) 336-0507.

Contact Information

Primary practice address
15655 W Roosevelt St Ste 100 Goodyear AZ 85338-9311
Phone: (480) 336-0507
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Deetz, Garrett
Phone: (480) 336-0507

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1104554864
LBN Legal business name Divergent Recovery Llc
DBA Doing business as
Authorized official Deetz, Garrett
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2022
Last updated Aug 10th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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