Provider Demographics
NPI:1033981519
Name:NORTH RECOVERY ALLIANCE INC LLC
Entity Type:Organization
Organization Name:NORTH RECOVERY ALLIANCE INC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RECOVERY COACH
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:CHARLENE
Authorized Official - Last Name:NORTH
Authorized Official - Suffix:
Authorized Official - Credentials:RC
Authorized Official - Phone:970-534-4852
Mailing Address - Street 1:2956 GINNALA DR STE 204
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-7825
Mailing Address - Country:US
Mailing Address - Phone:970-534-4852
Mailing Address - Fax:
Practice Address - Street 1:2956 GINNALA DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-2744
Practice Address - Country:US
Practice Address - Phone:970-534-4852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-26
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty