Provider Demographics
NPI:1922441864
Name:THE RECOVERY CENTER
Entity Type:Organization
Organization Name:THE RECOVERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:OWENE
Authorized Official - Last Name:BONEBRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:402-742-9616
Mailing Address - Street 1:3200 O ST STE 5
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-1510
Mailing Address - Country:US
Mailing Address - Phone:402-742-9616
Mailing Address - Fax:402-742-9116
Practice Address - Street 1:3200 O ST STE 5
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-1510
Practice Address - Country:US
Practice Address - Phone:402-742-9616
Practice Address - Fax:402-742-9116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE71101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty