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RECOVERY IN THE PINES LLC NPI 1508207523


NPI Information

NPI: 1508207523
Provider Name: RECOVERY IN THE PINES, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 03D2042659

Address:
919 12TH PLACE #13
PRESCOTT, AZ
ZIP 86305
Phone: (928) 227-2967
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RECOVERY IN THE PINES, LLC is a community behavioral health in Prescott, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. RECOVERY IN THE PINES, LLC NPI is 1508207523. The provider is registered as an organization entity type.

The provider's business location address is:

919 12TH PLACE #13
PRESCOTT, AZ
ZIP 86305
Phone: (928) 227-2967
Fax: (928) 227-2968

The provider's authorized official is Albert Black .
The authorized official title is Owner and has the following contact phone number (928) 308-4311.

The CLIA number assigned to this NPI record is 03D2042659 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2013 and was last updated on 6/23/2015.


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
1251S00000XCommunity/Behavioral HealthCSLG6504ARIZONAYes

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: 4/28/2024

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