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RECOVERY PLACE INC. NPI 1093720583


NPI Information

NPI: 1093720583
Provider Name: RECOVERY PLACE, INC.
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 11D2098099

Address:
835 E 65TH ST
SUITE 104
SAVANNAH, GA
ZIP 31405
Phone: (912) 355-1440
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RECOVERY PLACE, INC. is an addiction (substance use disorder) counselor in Savannah, GA. RECOVERY PLACE, INC. NPI is 1093720583. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

835 E 65TH ST
SUITE 104
SAVANNAH, GA
ZIP 31405-421
Phone: (912) 355-1440
Fax: (912) 352-0802

The provider's authorized official is Early Wayne Bland .
The authorized official title is President/ceo and has the following contact phone number (912) 355-1440.

The CLIA number assigned to this NPI record is 11D2098099 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)025325DGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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