Extreme Recovery LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EXTREME RECOVERY LLC

Practice address

312 Montgomery St Ste 206
Alexandria, VA 22314-1516

Phone

(202) 427-8687

NPI assigned

Mar 9, 2016

Organization subpart

Yes

Parent organization

EXTREME RECOVERY LLCAs reported in NPPES

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

Authorized official

Name

Mr. Marcus Pritchett

Title

Manager

Phone

(202) 427-8687

Specialties & licenses 1

Addresses

Tax ID family

Extreme Recovery2 organizations share this tax ID, including this one

Part of

Extreme Recovery

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Extreme Recovery

  • Community/Behavioral Health Agency
  • Norfolk, VA
  • NPI 1861805327
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Extreme Recovery

  • Community/Behavioral Health Agency
  • Norfolk, VA
  • NPI 1861805327
  NPPES parent name

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1336500040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MONTGOMERY ST STE 206",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MONTGOMERY ST STE 206",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141516",
            "telephone_number": "202-427-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTREME RECOVERY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXTREME RECOVERY LLC",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "PRITCHETT",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "202-427-8687",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.