Provider Demographics
NPI:1265849509
Name:TRU RECOVERY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:TRU RECOVERY SOLUTIONS, LLC
Other - Org Name:DECISION POINT DETOX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUPPARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-778-4600
Mailing Address - Street 1:505 WHIPPLE ST
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-1747
Mailing Address - Country:US
Mailing Address - Phone:928-778-4600
Mailing Address - Fax:928-778-2221
Practice Address - Street 1:505 WHIPPLE ST STE B
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-1747
Practice Address - Country:US
Practice Address - Phone:928-968-7043
Practice Address - Fax:928-778-2221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-18
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZIFBH12604OtherBEHAVIORAL HEALTH INPATIENT FACILITY