Provider Demographics
NPI:1851176895
Name:VUIJON RECOVERY
Entity Type:Organization
Organization Name:VUIJON RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:M
Authorized Official - Last Name:MACHARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-603-8388
Mailing Address - Street 1:4430 W ST KATERI DR
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-6238
Mailing Address - Country:US
Mailing Address - Phone:858-603-8388
Mailing Address - Fax:602-916-1467
Practice Address - Street 1:13100 S SUNLAND GIN RD STE 100
Practice Address - Street 2:
Practice Address - City:ARIZONA CITY
Practice Address - State:AZ
Practice Address - Zip Code:85123-8659
Practice Address - Country:US
Practice Address - Phone:858-603-8388
Practice Address - Fax:602-916-1467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health