Reflections Recovery Detox, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

REFLECTIONS RECOVERY DETOX, LLC

Practice address

8196 E Valley Rd
Prescott Valley, AZ 86314-9465

Phone

(973) 277-5359

NPI assigned

Mar 12, 2019

Organization subpart

No

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

Authorized official

Name

Bryan M Disimone

Title

Account Manager

Phone

(973) 277-5359

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1770042426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8196 E VALLEY RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863149465",
            "telephone_number": "973-277-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8196 E VALLEY RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863149465",
            "telephone_number": "973-277-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIONS RECOVERY DETOX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "DISIMONE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "973-277-5359"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Rauch, MA, LAC
• Autumn Re
• Charles F Reed, D.D.S., M.S.
• Sean C Reed, D.D.S.
• Bryan D Reeder
• Refuge Rehab LLC
• Kara Regehr, PA-C
• Catherine N Reid-McKee, NP
• Miriam Berenice Rendon Zavala, PTA
• Rescare Arizona, Inc.

• Substance Abuse Rehabilitation Facility in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.