Holdfast Recovery

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

HOLDFAST RECOVERY

Practice address

1579 W Gurley St
Prescott, AZ 86305-2829

Phone

(928) 925-7856

NPI assigned

Apr 3, 2018

Organization subpart

No

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

Authorized official

Name

Brendan James McDonough

Title

Ceo

Phone

(928) 589-4617

Specialties & licenses 3

Addresses

Other names 1

• Holdfast Recovery Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1952807414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 W GURLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863052829",
            "telephone_number": "800-351-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 W GURLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863052829",
            "telephone_number": "928-925-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDFAST RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2022-10-10",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-589-4617"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holdfast Recovery",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Holdfast Recovery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Warren Reyes Ho, MD
• Diane Hodge
• Elaine Arena Hodge, EDD
• Mary P Hogan, MD
• Kaylee Karen-Lynn Hoholik, LMT
• Loretta Ann Holdsworth, LPC
• Megan Holdsworth, R.D.
• Karlee Rae Holliday
• Trevor Hollyer, PT
• John G. Holm, M.D.

• Substance Abuse Rehabilitation Facility in Prescott, AZ
• Providers in Prescott, 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 Oct 10, 2022; 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.

Verify at the official NPI Registry.