Active NPI
Project Recovery of Arizona, Inc.
- Integrative Medicine Physician
- Tucson, AZ
National Provider Identifier
1639857196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- Legal business name
- PROJECT RECOVERY OF ARIZONA, INC.
- Practice address
- 3438 N Country Club Rd
Tucson, AZ 85716-1257 - Phone
- (520) 286-9964
- NPI assigned
- Jul 6, 2023
- 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
- Charles Jackson
- Title
- Cco
- Phone
- (480) 787-1591
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
3438 N Country Club Rd
Tucson, AZ 85716-1257
Mailing address
3438 N Country Club Rd
Tucson, AZ 85716-1257
Phone (520) 286-9964
Other names 1
- NOVA VIA TUCSON
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2330997 | Project Recovery of Arizona Dba Nova Via Tucson | Certificate of waiver | Sep 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
4600 E Washington St
Ste 3003080
Phoenix, AZ 85034
3438 N Country Club Rd
Tucson, AZ 85716
Phone (520) 531-1040
3438 N Country Club Rd
Fl 1
Tucson, AZ 85716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762819200000",
"number": "1639857196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3438 N COUNTRY CLUB RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857161257",
"telephone_number": "520-286-9964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3438 N COUNTRY CLUB RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857161257",
"telephone_number": "520-286-9964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROJECT RECOVERY OF ARIZONA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-06",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "CCO",
"authorized_official_telephone_number": "480-787-1591"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NOVA VIA TUCSON",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.