Healthcare Provider Details

I. General information

NPI: 1992246573
Provider Name (Legal Business Name): RECOVERY WELLNESS SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2017
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 EAST MARKET STREET STE 301
YORK PA
17401-1612
US

IV. Provider business mailing address

1 EAST MARKET STREET STE 301
YORK PA
17401-1612
US

V. Phone/Fax

Practice location:
  • Phone: 717-430-4443
  • Fax: 717-430-6524
Mailing address:
  • Phone: 717-430-4443
  • Fax: 717-430-6524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JAMES C NDUNGU
Title or Position: AUTHORIZED OFFICIAL
Credential: FNP
Phone: 717-430-4443