Provider Demographics
NPI:1225361900
Name:RECOVERY POINTE, LLC
Entity Type:Organization
Organization Name:RECOVERY POINTE, LLC
Other - Org Name:RECOVERY POINTE
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-943-8484
Mailing Address - Street 1:503 KNIGHT ST STE B
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4257
Mailing Address - Country:US
Mailing Address - Phone:509-943-8484
Mailing Address - Fax:509-943-8483
Practice Address - Street 1:503 KNIGHT ST STE B
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4257
Practice Address - Country:US
Practice Address - Phone:509-943-8484
Practice Address - Fax:509-943-8483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA03144600251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health