Provider Demographics
NPI:1831482231
Name:PROJECT RECOVERY, INC.
Entity Type:Organization
Organization Name:PROJECT RECOVERY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COMPANY
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZARINA
Authorized Official - Middle Name:R
Authorized Official - Last Name:DELMARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-746-8232
Mailing Address - Street 1:1338 FOOTHILL DR
Mailing Address - Street 2:162
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84108-2321
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1338 FOOTHILL DR
Practice Address - Street 2:162
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84108-2321
Practice Address - Country:US
Practice Address - Phone:954-746-8232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility