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General NPI Number Information
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NPI Number | 1538056833
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Entity Type | Organization
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Legal Business Name | COMMITTED TO RECOVERY LLC
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 3951 COVINGTON PIKE
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City | MEMPHIS
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State | TN
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Zip | 38135-2281
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Country | US
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Telephone | 901-244-3588
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Fax | 901-531-8029
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Provider Business Mailing Address
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Address Line | 2039 FLETCHER CREEK DR
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City | MEMPHIS
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State | TN
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Zip | 38133-7059
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Country | US
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Telephone | 901-244-3588
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Fax | 901-531-8029
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Authorized Official
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Title or Position | CIO
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Name | CHRISTOPHER GLENN STEPHENSON
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Credential |
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Telephone | 901-825-8972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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