Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divergent Recovery LLC

Organization Community/Behavioral Health Agency · NPI 1104554864

Divergent Recovery LLC is a Community/Behavioral Health Agency in Goodyear, Arizona. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15655 W Roosevelt St Ste 100
Goodyear, AZ 85338-9311
Phone: (480) 336-0507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1104554864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Garrett Deetz — Owner · (480) 336-0507
NPI enumeratedAugust 10, 2022
Last updated in NPPESAugust 10, 2022
Certification dateAugust 10, 2022
Mailing address8140 W Mission Ln, Peoria, AZ 85345-4829

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