Provider Demographics
NPI:1073215851
Name:WE BREATHE RECOVERY, LLC
Entity Type:Organization
Organization Name:WE BREATHE RECOVERY, LLC
Other - Org Name:WE BREATHE RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-509-6258
Mailing Address - Street 1:450 W COOL DR APT 342
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6465
Mailing Address - Country:US
Mailing Address - Phone:520-222-7330
Mailing Address - Fax:
Practice Address - Street 1:450 W COOL DR APT 342
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85704-6465
Practice Address - Country:US
Practice Address - Phone:520-222-7330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health