Provider Demographics
NPI:1013448489
Name:ADDICTION RECOVERY CENTERS PLC
Entity Type:Organization
Organization Name:ADDICTION RECOVERY CENTERS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GENOVESE
Authorized Official - Suffix:
Authorized Official - Credentials:MD, JD
Authorized Official - Phone:702-919-0000
Mailing Address - Street 1:501 S RANCHO DR
Mailing Address - Street 2:SUITE H-50
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-4828
Mailing Address - Country:US
Mailing Address - Phone:702-919-0000
Mailing Address - Fax:702-476-9411
Practice Address - Street 1:501 S RANCHO DR
Practice Address - Street 2:SUITE H-50
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4828
Practice Address - Country:US
Practice Address - Phone:702-919-0000
Practice Address - Fax:702-476-9411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV169732084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty