Healthcare Provider Details

I. General information

NPI: 1518356625
Provider Name (Legal Business Name): MVP RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2015
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 S ORANGE ST
MEDIA PA
19063-3679
US

IV. Provider business mailing address

2200 PROVIDENCE AVE
CHESTER PA
19013-5219
US

V. Phone/Fax

Practice location:
  • Phone: 855-687-2410
  • Fax:
Mailing address:
  • Phone: 855-687-2410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRIAN CORSON
Title or Position: CEO
Credential:
Phone: 484-343-1323