Healthcare Provider Details

I. General information

NPI: 1700257664
Provider Name (Legal Business Name): RECOVERY INNOVATIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2015
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 CRUTCHFIELD ST
DURHAM NC
27704-2754
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 919-560-7305
  • Fax: 919-560-7480
Mailing address:
  • Phone: 602-650-1212
  • Fax: 602-636-5283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMHL-032-605
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: PAMELA D SAULPAW
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 602-898-7254