Provider Demographics
NPI:1437617958
Name:CHOICE RECOVERY CENTER, LLC
Entity Type:Organization
Organization Name:CHOICE RECOVERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:DONLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-527-0340
Mailing Address - Street 1:2222 S DOBSON RD STE 1002
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-6200
Mailing Address - Country:US
Mailing Address - Phone:480-527-0340
Mailing Address - Fax:480-452-1311
Practice Address - Street 1:2222 S DOBSON RD STE 1002
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-6200
Practice Address - Country:US
Practice Address - Phone:480-527-0340
Practice Address - Fax:480-452-1311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder