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NPI Code Detail

MEDICARE: RECOVERY INNOVATIONS OF CALIFORNIA

MEDICARE: RECOVERY INNOVATIONS OF CALIFORNIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1043526452
Entity Type Code : Organization
Provider Name (Legal Business Name) : RECOVERY INNOVATIONS OF CALIFORNIA
Provider Business Mailing Address
First Line : 2701 N 16TH ST
Second Line : SUITE 316
City : PHOENIX
State : AZ
Zip : 85006-1263
Country : US
Telephone Number : 602-650-1212
Fax Number : 602-636-5211
Provider Business Practice Location Address
First Line : 1211 EMBARCADERO
Second Line : SUITE 300
City : OAKLAND
State : CA
Zip : 94606-5119
Country : US
Telephone Number : 510-535-1409
Fax Number : 510-535-1414
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. EUGENE JOHNSON
Credential :
Telephone Number : 602-636-4444
Provider Enumeration Date : 08/23/2010
Last Update Date : 08/23/2010

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Directions to “RECOVERY INNOVATIONS OF CALIFORNIA ” Practice Location

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