Re-creation Retreat Llc

  • 1629339437 NPI Number
  • |
  • Actived: 11 years ago
  • |
Re-creation Retreat Llc is a health care provider based in Fredonia, AZ. The NPI Number is 1629339437 and it has been active since 11 years ago. The specialty is Substance Abuse Rehabilitation Facility, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Substance Abuse Rehabilitation Facility services, Re-creation Retreat Llc is an excellent option. We are here to help you get the care you need.

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Overview of Re-creation Retreat Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 06/07/2012
  • Last updated: 11/21/2012

Primary Scrop of Practice

  • Taxonomy Code: 324500000X
  • Specialty: Substance Abuse Rehabilitation Facility
  • License Number: BH-3895
  • License State: AZ

Provider Mailing Address

  • Address: 380 W Los Barancos Ln
    P.o. Box 61
    Kanab, UT 84741
  • Phone: 435-691-0856
  • Fax:

Provider Practice Location

  • Address: 455 South Main
    Fredonia, AZ 86022
  • Phone: 435-691-0856
  • Fax:

Authorized Official

  • Name: MR. Randy K Soderquist LCSW
  • Position/Title: Owner And Clinical Director
  • Telephone Number: 435-691-0856

Scope of Practice

  • Taxonomy Code: 320800000X
  • Specialty: Community Based Residential Treatment Facility, Mental Illness
  • License Number: BH-3895
  • License State: AZ
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Re-creation Retreat Llc?
  • A: The npi number for Re-creation Retreat Llc is 1629339437.
  • Q: What are Re-creation Retreat Llc's specialties?
  • A: Re-creation Retreat Llc's specialties are Substance Abuse Rehabilitation Facility and different specialities.
  • Q: Where is Re-creation Retreat Llc business practice location?
  • A: Re-creation Retreat Llc business practice location is 455 South Main, Fredonia, AZ 86022.
  • Q: How to contact Re-creation Retreat Llc?
  • A: You can contact Re-creation Retreat Llc via 435-691-0856.
  • Q: What is the authorized official for Re-creation Retreat Llc?
  • A: The authorized office name is MR. Randy K Soderquist LCSW with position/title is Owner And Clinical Director and you can reach the authorized official via phone number 4356910856.
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