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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 : 1619526522
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 : 602-650-1616
Provider Business Practice Location Address
First Line : 82380 MILES AVE
Second Line :
City : INDIO
State : CA
Zip : 92201-2608
Country : US
Telephone Number : 951-217-0738
Fax Number :
Authorized Official
Title or Position : ASSOCIATE DIRECTOR, CREDENTIALING
Name : CORINA OGAZ
Credential :
Telephone Number : 602-636-3085
Provider Enumeration Date : 09/04/2019
Last Update Date : 06/21/2022

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