Healthcare Provider Details

I. General information

NPI: 1912381344
Provider Name (Legal Business Name): RECOVERY INNOVATIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2015
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

659 E CHESTNUT HILL RD
NEWARK DE
19713-1827
US

IV. Provider business mailing address

11361 N 99TH AVE STE 402
PEORIA AZ
85345-5459
US

V. Phone/Fax

Practice location:
  • Phone: 302-318-6070
  • Fax: 302-266-4781
Mailing address:
  • Phone: 602-650-1212
  • Fax: 602-650-1616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: REBECCA JOY BRUNSON-NSUBUGA
Title or Position: COO
Credential:
Phone: 602-650-1212