Provider Demographics
NPI:1811661002
Name:UNITE RECOVERY LLC
Entity type:Organization
Organization Name:UNITE RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTFALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-478-6393
Mailing Address - Street 1:10 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLLEGE CORNER
Mailing Address - State:OH
Mailing Address - Zip Code:45003-9061
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10 MAIN ST
Practice Address - Street 2:
Practice Address - City:COLLEGE CORNER
Practice Address - State:OH
Practice Address - Zip Code:45003-9061
Practice Address - Country:US
Practice Address - Phone:513-478-6393
Practice Address - Fax:513-402-8270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Multi-Specialty