Provider Demographics
NPI:1184181042
Name:STRIVE RECREATIONAL THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:STRIVE RECREATIONAL THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:ARZADON
Authorized Official - Last Name:HUSCH
Authorized Official - Suffix:
Authorized Official - Credentials:CTRS
Authorized Official - Phone:248-922-1236
Mailing Address - Street 1:7111 DIXIE HWY # 123
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-2077
Mailing Address - Country:US
Mailing Address - Phone:248-922-1236
Mailing Address - Fax:248-922-1235
Practice Address - Street 1:6751 DIXIE HWY STE 113
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-2080
Practice Address - Country:US
Practice Address - Phone:248-922-1236
Practice Address - Fax:248-922-1235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child