Healthcare Provider Details

I. General information

NPI: 1003480146
Provider Name (Legal Business Name): RECOVERY FRAMEWORKS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2021
Last Update Date: 05/13/2021
Certification Date: 05/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 KYLE PL
CHARLESTON SC
29403-3616
US

IV. Provider business mailing address

4 KYLE PL
CHARLESTON SC
29403-3616
US

V. Phone/Fax

Practice location:
  • Phone: 843-834-4685
  • Fax:
Mailing address:
  • Phone: 843-834-4685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: ISAAC WATERS
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 843-834-4685