Provider Demographics
NPI:1932794575
Name:FAMILY RECOVERY, INC.
Entity Type:Organization
Organization Name:FAMILY RECOVERY, INC.
Other - Org Name:RECOVERY WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-738-6832
Mailing Address - Street 1:442 NW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-6491
Mailing Address - Country:US
Mailing Address - Phone:541-738-6832
Mailing Address - Fax:541-738-6410
Practice Address - Street 1:530 NW 5TH ST
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-6419
Practice Address - Country:US
Practice Address - Phone:541-753-3333
Practice Address - Fax:541-754-3333
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY RECOVERY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-05
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilityGroup - Multi-Specialty