Healthcare Provider Details

I. General information

NPI: 1598054728
Provider Name (Legal Business Name): RECOVERY INNOVATIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2011
Last Update Date: 03/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 S ANITA DR SUITE 100
ORANGE CA
92868-3319
US

IV. Provider business mailing address

2601 N 16TH ST SUITE 316
PHOENIX AZ
85006-1404
US

V. Phone/Fax

Practice location:
  • Phone: 714-978-1005
  • Fax: 714-978-1057
Mailing address:
  • Phone: 602-650-1212
  • Fax: 602-636-5211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER C HINKLE
Title or Position: VP/COO
Credential:
Phone: 602-650-1212