Provider Demographics
NPI:1679041362
Name:OASIS RECOVERY CENTERS, INC
Entity Type:Organization
Organization Name:OASIS RECOVERY CENTERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:DISIMONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-277-5359
Mailing Address - Street 1:191 CHARLOTTE ST # 200
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1938
Mailing Address - Country:US
Mailing Address - Phone:973-277-5359
Mailing Address - Fax:
Practice Address - Street 1:191 CHARLOTTE ST # 200
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1938
Practice Address - Country:US
Practice Address - Phone:973-277-5359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-11
Last Update Date:2018-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder