Provider Demographics
NPI: | 1487207346 |
---|---|
Name: | RECOVERY HEALTH SYSTEMS |
Entity type: | Organization |
Organization Name: | RECOVERY HEALTH SYSTEMS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OPERATIONS DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | BRITTNEY |
Authorized Official - Middle Name: | ELAINE |
Authorized Official - Last Name: | HOWELL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 479-567-4914 |
Mailing Address - Street 1: | PO BOX 540 |
Mailing Address - Street 2: | |
Mailing Address - City: | RUSSELLVILLE |
Mailing Address - State: | AR |
Mailing Address - Zip Code: | 72811-0540 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 866-921-0149 |
Mailing Address - Fax: | 479-777-4400 |
Practice Address - Street 1: | 700 E PARKWAY DR |
Practice Address - Street 2: | |
Practice Address - City: | RUSSELLVILLE |
Practice Address - State: | AR |
Practice Address - Zip Code: | 72801-4202 |
Practice Address - Country: | US |
Practice Address - Phone: | 866-921-0149 |
Practice Address - Fax: | 866-921-0149 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2019-07-19 |
Last Update Date: | 2023-03-01 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Group - Multi-Specialty | |
No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | Group - Multi-Specialty | |
No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling | Group - Multi-Specialty |
No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
No | 2084P0802X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Addiction Psychiatry | Group - Multi-Specialty |
No | 225800000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Recreation Therapist | Group - Multi-Specialty | |
No | 225C00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Rehabilitation Counselor | Group - Multi-Specialty | |
No | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | Group - Multi-Specialty | |
No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | Group - Multi-Specialty |
Yes | 261QR0401X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
AR | 238917526 | Medicaid | |
AR | 238910526 | Medicaid | |
AR | 238916526 | Medicaid |