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NPI Code Detail

MEDICARE: RECOVERY INNOVATIONS INC

MEDICARE: RECOVERY INNOVATIONS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1323P00000XPsychiatric Residential Treatment Facility

General Provider Information

NPI Number : 1356668941
Entity Type Code : Organization
Provider Name (Legal Business Name) : RECOVERY INNOVATIONS INC
Provider Business Mailing Address
First Line : 2701 N 16TH ST STE 316
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-1266
Country : US
Telephone Number : 602-650-1212
Fax Number : 602-636-5211
Provider Business Practice Location Address
First Line : 721 8TH ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93304-2224
Country : US
Telephone Number : 602-650-1212
Fax Number : 602-636-5211
Authorized Official
Title or Position : ASSOCIATE DIRECTOR, CREDENTIALING
Name : CORINA OGAZ
Credential :
Telephone Number : 602-636-3085
Provider Enumeration Date : 04/22/2010
Last Update Date : 05/12/2022

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Directions to “RECOVERY INNOVATIONS INC ” Practice Location

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