Provider Demographics
NPI:1407513401
Name:RECOVERY SYNDICATE LLC
Entity Type:Organization
Organization Name:RECOVERY SYNDICATE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SEARLES
Authorized Official - Last Name:FOX
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:480-828-5807
Mailing Address - Street 1:557 N SAGUARO ST
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-4285
Mailing Address - Country:US
Mailing Address - Phone:480-828-5807
Mailing Address - Fax:
Practice Address - Street 1:3140 N ARIZONA AVE STE 101
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-7166
Practice Address - Country:US
Practice Address - Phone:480-360-3339
Practice Address - Fax:480-360-3388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-24
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility