Provider Demographics
NPI:1881864833
Name:WE SHARE RECREATIONAL & FAMILY SERVICES CENTER, INC.
Entity Type:Organization
Organization Name:WE SHARE RECREATIONAL & FAMILY SERVICES CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:HOHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-722-9973
Mailing Address - Street 1:13164 W CROCUS DR
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-6402
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13164 W CROCUS DR
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85379-6402
Practice Address - Country:US
Practice Address - Phone:602-722-9973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health