Provider Demographics
NPI:1447796503
Name:RECOVERY SERVICES UNLIMITED, INC
Entity Type:Organization
Organization Name:RECOVERY SERVICES UNLIMITED, INC
Other - Org Name:RECOVERY SERVICES UNLIMITED, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, CAADC
Authorized Official - Phone:269-364-0663
Mailing Address - Street 1:6221 WESTLAKE RD
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:MI
Mailing Address - Zip Code:49021-8233
Mailing Address - Country:US
Mailing Address - Phone:269-364-0663
Mailing Address - Fax:
Practice Address - Street 1:2150 COLUMBIA AVE W
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-2848
Practice Address - Country:US
Practice Address - Phone:269-364-0663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-13
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISA0130125251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health