Provider Demographics
NPI:1831788496
Name:ACHIEVE RECOVERY CENTER P L L C
Entity type:Organization
Organization Name:ACHIEVE RECOVERY CENTER P L L C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:602-319-9756
Mailing Address - Street 1:5115 N DYSART RD STE 202
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-3036
Mailing Address - Country:US
Mailing Address - Phone:602-319-9756
Mailing Address - Fax:
Practice Address - Street 1:17035 W STATLER ST
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85388-1539
Practice Address - Country:US
Practice Address - Phone:602-319-9756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Single Specialty