Provider First Line Business Practice Location Address:
PARTNERS IN RECOVERY - WEST VALLEY CLINIC
Provider Second Line Business Practice Location Address:
14100 W 83RD AVENUE STE 100
Provider Business Practice Location Address City Name:
PEORIA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85381
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-583-0232
Provider Business Practice Location Address Fax Number:
623-583-1830
Provider Enumeration Date:
12/17/2009