Re-Entry and Recovery Network

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

2WV43M8DFJ Issued in WV

Legal business name

RE-ENTRY AND RECOVERY NETWORK

Practice address

2045 9TH Ave
Huntington, WV 25703-1801

Phone

(304) 556-6501

Fax

(304) 551-0109

NPI assigned

Sep 7, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Tyrone Duncan Phillips

Title

Ceo

Phone

(304) 556-6501

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1205354479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 9TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031801",
            "telephone_number": "304-551-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 9TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031801",
            "telephone_number": "304-556-6501",
            "fax_number": "304-551-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE-ENTRY AND RECOVERY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_middle_name": "DUNCAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-556-6501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WV",
            "license": "2WV43M8DFJ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Huntington, WV
• Providers in Huntington, WV by specialty
• Substance Abuse Rehabilitation Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.