Healthcare Provider Details

I. General information

NPI: 1265849509
Provider Name (Legal Business Name): TRU RECOVERY SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2014
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 WHIPPLE ST STE B
PRESCOTT AZ
86301-1747
US

IV. Provider business mailing address

505 WHIPPLE ST
PRESCOTT AZ
86301-1747
US

V. Phone/Fax

Practice location:
  • Phone: 928-968-7043
  • Fax: 928-778-2221
Mailing address:
  • Phone: 928-778-4600
  • Fax: 928-778-2221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. MARY ANN ZUPPARDO
Title or Position: CEO
Credential:
Phone: 928-778-4600