Provider Demographics
NPI:1346857679
Name:APEX RECOVERY, LLC
Entity Type:Organization
Organization Name:APEX RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:BRUHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-756-6424
Mailing Address - Street 1:2810 CAMINO DEL RIO S STE 106
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3819
Mailing Address - Country:US
Mailing Address - Phone:619-756-6424
Mailing Address - Fax:
Practice Address - Street 1:3480 HIDDEN TRAIL DR
Practice Address - Street 2:
Practice Address - City:JAMUL
Practice Address - State:CA
Practice Address - Zip Code:91935-2104
Practice Address - Country:US
Practice Address - Phone:619-756-6424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder