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

Wagoner Care Recovery LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1922990753

Wagoner Care Recovery LLC is a Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona. Registered with an NPI since 2025.

In the registry since
2025
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

2022 N Pacey Rd
Phoenix, AZ 85037-6301
Phone: (480) 577-6274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1922990753
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gwen Wright — Coo · (480) 577-6274
NPI enumeratedJuly 16, 2025
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address2022 N Pacey Rd, Phoenix, AZ 85037-6301

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