Healthcare Provider Details

I. General information

NPI: 1578647095
Provider Name (Legal Business Name): RECOVERY CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 MARTIN DR
XENIA OH
45385-1615
US

IV. Provider business mailing address

515 MARTIN DRIVE
XENIA OH
45385
US

V. Phone/Fax

Practice location:
  • Phone: 937-562-2400
  • Fax: 937-562-2450
Mailing address:
  • Phone: 937-352-2900
  • Fax: 937-352-2930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number1123
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number625
License Number StateOH

VIII. Authorized Official

Name: MICHELE COX
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 937-562-2400