Provider Demographics
NPI:1316213754
Name:REDWOOD RECOVERY CENTERS, LLC
Entity Type:Organization
Organization Name:REDWOOD RECOVERY CENTERS, LLC
Other - Org Name:REDWOOD RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:S
Authorized Official - Last Name:RINISH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, CAC
Authorized Official - Phone:570-878-7887
Mailing Address - Street 1:13 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:PLAINS
Mailing Address - State:PA
Mailing Address - Zip Code:18705-3341
Mailing Address - Country:US
Mailing Address - Phone:570-878-7887
Mailing Address - Fax:
Practice Address - Street 1:614 WYOMING AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18509-3027
Practice Address - Country:US
Practice Address - Phone:570-392-9666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility