Active NPI
Recovery in the Pines, LLC
- Community/Behavioral Health Agency
- Prescott, AZ
National Provider Identifier
1508207523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- CSLG6504
- Legal business name
- RECOVERY IN THE PINES, LLC
- Practice address
- 919 12TH Place #13
Prescott, AZ 86305 - Phone
- (928) 227-2967
- Fax
- (928) 227-2968
- NPI assigned
- Jul 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Albert Black
- Title
- Owner
- Phone
- (928) 308-4311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | CSLG6504 | AZ | Primary |
Addresses
Primary practice location
919 12TH Place #13
Prescott, AZ 86305
Mailing address
919 12TH Place #13
Prescott, AZ 86305
Phone (928) 227-2967
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435017600000",
"number": "1508207523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 12TH PLACE #13",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86305",
"telephone_number": "928-227-2967",
"fax_number": "928-227-2968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 12TH PLACE #13",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86305",
"telephone_number": "928-227-2967",
"fax_number": "928-227-2968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECOVERY IN THE PINES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-08",
"last_updated": "2015-06-23",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "ALBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "928-308-4311",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AZ",
"license": "CSLG6504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.