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General NPI Number Information
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NPI Number | 1134710817
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Entity Type | Organization
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Legal Business Name | RECOVERY INSTITUTE OF AMERICA, LLC
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Dates
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Enumeration Date | 01/27/2021
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Last Update Date | 01/27/2021
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Provider Practice Location Address
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Address Line | 4101 E LOUISIANA AVE STE 300
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City | DENVER
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State | CO
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Zip | 80246-3449
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Country | US
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Telephone | 949-354-3837
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Fax |
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Provider Business Mailing Address
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Address Line | 4101 E LOUISIANA AVE STE 300
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City | DENVER
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State | CO
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Zip | 80246-3449
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Country | US
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Telephone | 949-354-3837
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. DANIEL LEE CASE SR.
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Credential |
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Telephone | 480-300-2655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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