Organization Active NPI

Recovery in the Pines, LLC

  • Community/Behavioral Health Agency
  • Prescott, AZ
National Provider Identifier
1508207523
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSLG6504 Issued in AZ
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

Updated by the provider on Jun 23, 2015

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.