Active NPI
Resilient Dignity Recovery Community Co-Op Inc
- Community Health Clinic/Center
- Phoenix, AZ
National Provider Identifier
1861202889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- RESILIENT DIGNITY RECOVERY COMMUNITY CO-OP INC
- Practice address
- 1333 N 24TH St Apt 214
Phoenix, AZ 85008-4674 - Phone
- (602) 757-6346
- NPI assigned
- Jan 10, 2025
- 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
- Maria Petraru
- Title
- Cfo
- Phone
- (602) 757-6346
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Voluntary or Charitable Agency | 251V00000X | |||
| Community Health Clinic/Center | 261QC1500X | Primary | ||
| Emergency Care Clinic/Center | 261QE0002X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
1333 N 24TH St Apt 214
Phoenix, AZ 85008-4674
Mailing address
220 N 12TH St Unit 248
Phoenix, AZ 85034-1385
Phone (602) 757-6346
Other names 1
- Resilient Dignity Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736467200000",
"number": "1861202889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N 12TH ST UNIT 248",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850341385",
"telephone_number": "602-757-6346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 N 24TH ST APT 214",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084674",
"telephone_number": "602-757-6346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESILIENT DIGNITY RECOVERY COMMUNITY CO-OP INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-10",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A",
"authorized_official_last_name": "PETRARU",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "602-757-6346"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Resilient Dignity Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.