COMMUNITY RECOVERY SERVICES NPI 1619983194

NPI Information

NPI: 1619983194
Provider Name: COMMUNITY RECOVERY SERVICES
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1110 ELDON BAKER DR
FLINT, MI
ZIP 48507
Phone: (810) 744-3600
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COMMUNITY RECOVERY SERVICES is an addiction (substance use disorder) counselor in Flint, MI. COMMUNITY RECOVERY SERVICES NPI is 1619983194. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1110 ELDON BAKER DR
FLINT, MI
ZIP 48507-923
Phone: (810) 744-3600

The provider's authorized official is Chris Flores .
The authorized official title is Ceo and has the following contact phone number (810) 744-3600.

The enumeration date for this NPI number is 8/1/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	25083	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1683468	MEDICAID	MICHIGAN

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

NPI Synchronization or Removal

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