Healthcare Provider Details

I. General information

NPI: 1407513401
Provider Name (Legal Business Name): RECOVERY SYNDICATE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2021
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3140 N ARIZONA AVE STE 101
CHANDLER AZ
85225-7166
US

IV. Provider business mailing address

3140 N ARIZONA AVE STE 101
CHANDLER AZ
85225-7166
US

V. Phone/Fax

Practice location:
  • Phone: 480-360-3339
  • Fax: 480-360-3388
Mailing address:
  • Phone: 480-828-5807
  • Fax: 480-360-3388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ROBERT SEARLES FOX III
Title or Position: CEO
Credential:
Phone: 480-828-5807