Provider Demographics
NPI:1275312985
Name:EXPEDITION RECOVERY, LLC
Entity Type:Organization
Organization Name:EXPEDITION RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:PSS, CRS
Authorized Official - Phone:828-793-3733
Mailing Address - Street 1:PO BOX 1072
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28802-1072
Mailing Address - Country:US
Mailing Address - Phone:828-793-3733
Mailing Address - Fax:
Practice Address - Street 1:110 BEAR CREEK LN # D27
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-1602
Practice Address - Country:US
Practice Address - Phone:828-793-3733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-22
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty