Provider Demographics
NPI:1700450103
Name:ZIKA RECOVERY LLC
Entity Type:Organization
Organization Name:ZIKA RECOVERY LLC
Other - Org Name:VIRTUE RECOVERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR BILLING REP
Authorized Official - Prefix:
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-928-0038
Mailing Address - Street 1:3170 S GILBERT RD STE 2
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-5104
Mailing Address - Country:US
Mailing Address - Phone:877-244-3250
Mailing Address - Fax:
Practice Address - Street 1:3170 S GILBERT RD STE 2
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-5104
Practice Address - Country:US
Practice Address - Phone:818-916-8116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1861094898OtherNPI