Provider Demographics
NPI:1821735457
Name:B2B RECOVERY CORP
Entity Type:Organization
Organization Name:B2B RECOVERY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMERA
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:COTTON
Authorized Official - Suffix:
Authorized Official - Credentials:CADC
Authorized Official - Phone:312-998-7218
Mailing Address - Street 1:6834 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60636-3118
Mailing Address - Country:US
Mailing Address - Phone:312-998-7218
Mailing Address - Fax:
Practice Address - Street 1:6834 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60636-3118
Practice Address - Country:US
Practice Address - Phone:312-998-7218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit