Provider Demographics
NPI:1295585065
Name:PINNACLE RECOVERY CENTERS LLC
Entity type:Organization
Organization Name:PINNACLE RECOVERY CENTERS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:THI
Authorized Official - Middle Name:
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-205-8232
Mailing Address - Street 1:7917 N MAY AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-4540
Mailing Address - Country:US
Mailing Address - Phone:702-903-9847
Mailing Address - Fax:702-725-4994
Practice Address - Street 1:7917 N MAY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-4540
Practice Address - Country:US
Practice Address - Phone:702-903-9847
Practice Address - Fax:702-725-4994
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PINNACLE RECOVERY CENTERS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-25
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health