Provider Demographics
NPI:1235421207
Name:PRACTICAL RECOVERY, INC.
Entity Type:Organization
Organization Name:PRACTICAL RECOVERY, INC.
Other - Org Name:REUNION SAN DIEGO
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:HORVATH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:858-888-5398
Mailing Address - Street 1:8950 VILLA LA JOLLA DR
Mailing Address - Street 2:B214
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1714
Mailing Address - Country:US
Mailing Address - Phone:858-546-1100
Mailing Address - Fax:858-455-0141
Practice Address - Street 1:2821 LANGE AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-3109
Practice Address - Country:US
Practice Address - Phone:858-246-6310
Practice Address - Fax:858-246-7577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility