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NPI Code Detail

MEDICARE: RECOVERING ANGELS LLC

MEDICARE: RECOVERING ANGELS LLC
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
1261QM0855XAdolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number : 1871442913
Entity Type Code : Organization
Provider Name (Legal Business Name) : RECOVERING ANGELS LLC
Provider Business Mailing Address
First Line : 1 S CHURCH AVE STE 1200
Second Line :
City : TUCSON
State : AZ
Zip : 85701-1601
Country : US
Telephone Number : 520-262-5003
Fax Number :
Provider Business Practice Location Address
First Line : 1 S CHURCH AVE STE 1200
Second Line :
City : TUCSON
State : AZ
Zip : 85701-1601
Country : US
Telephone Number : 520-262-5003
Fax Number :
Authorized Official
Title or Position : CHEIF EXECUTIVE OFFICER
Name : CHEYENNE ELIZABETH VINDIOLA
Credential : CEO
Telephone Number : 520-262-5003
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “RECOVERING ANGELS LLC ” Practice Location

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