Provider Demographics
NPI:1598054728
Name:RECOVERY INNOVATIONS INC
Entity Type:Organization
Organization Name:RECOVERY INNOVATIONS INC
Other - Org Name:RECOVERY INNOVATIONS OF CALIFORNIA, RECOVERY EDUCATION INSTITUTE
Other - Org Type:Other Name
Authorized Official - Title/Position:VP/COO
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:C
Authorized Official - Last Name:HINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-650-1212
Mailing Address - Street 1:2601 N 16TH ST
Mailing Address - Street 2:SUITE 316
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-1404
Mailing Address - Country:US
Mailing Address - Phone:602-650-1212
Mailing Address - Fax:602-636-5211
Practice Address - Street 1:171 S ANITA DR
Practice Address - Street 2:SUITE 100
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3319
Practice Address - Country:US
Practice Address - Phone:714-978-1005
Practice Address - Fax:714-978-1057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health