NPI Code Detail JSON Logo

1609378629 NPI number — RECOVERY FIRST LLC

NPI Number: 1609378629
Health Care Provider/Practitioner: RECOVERY FIRST LLC

Information about “1609378629” NPI (RECOVERY FIRST LLC) exists in 1609378629 in HTML format HTML  |  1609378629 in plain Text format TXT  |  1609378629 in PDF (Portable Document Format) PDF  |  1609378629 in an XML format XML  formats.

NPI Number : 1609378629 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609378629",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RECOVERY FIRST LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 2738",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VINELAND",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08362-2738",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "609-346-8740",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2581 E CHESTNUT AVE STE B3",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VINELAND",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08361-8487",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-346-8740",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/06/2018",
    "LastUpdateDate": "04/10/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VIRELLA",
    "AuthorizedOfficialFirstName": "LUIS",
    "AuthorizedOfficialMiddleName": "ENRIQUE",
    "AuthorizedOfficialTitle": "CLINICAL THERAPIST/OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW, LCADC",
    "AuthorizedOfficialTelephoneNumber": "609-346-8740",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "37LC00241500",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "44SC05660000",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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