Provider Demographics
NPI:1538056833
Name:COMMITTED TO RECOVERY LLC
Entity type:Organization
Organization Name:COMMITTED TO RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CIO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:GLENN
Authorized Official - Last Name:STEPHENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-825-8972
Mailing Address - Street 1:2057 FLETCHER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38133-7059
Mailing Address - Country:US
Mailing Address - Phone:901-244-3588
Mailing Address - Fax:901-531-8029
Practice Address - Street 1:3951 COVINGTON PIKE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38135-2281
Practice Address - Country:US
Practice Address - Phone:901-244-3588
Practice Address - Fax:901-531-8029
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMITTED TO RECOVERY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness