Provider Demographics
NPI:1033810916
Name:THE PEARL RECOVERY CENTER
Entity Type:Organization
Organization Name:THE PEARL RECOVERY CENTER
Other - Org Name:THE PEARL RECOVERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:HALEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-502-2920
Mailing Address - Street 1:218 N SPRING ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32502-4826
Mailing Address - Country:US
Mailing Address - Phone:706-502-2920
Mailing Address - Fax:
Practice Address - Street 1:218 N SPRING ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502-4826
Practice Address - Country:US
Practice Address - Phone:706-502-2920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder