Healthcare Provider Details
I. General information
NPI: 1629711023
Provider Name (Legal Business Name): RECOVERING FUTURES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/14/2022
Last Update Date: 08/17/2023
Certification Date: 08/17/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
306 5TH AVE
DAYTONA BEACH FL
32118-4498
US
IV. Provider business mailing address
306 5TH AVE
DAYTONA BEACH FL
32118-4498
US
V. Phone/Fax
- Phone: 386-310-9474
- Fax:
- Phone: 386-310-9474
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 175T00000X |
| Taxonomy | Peer Specialist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 405300000X |
| Taxonomy | Prevention Professional |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DONALD
RAY
STIFF
Title or Position: CEO
Credential: CRPS V,A,F
Phone: 386-383-2129