Spartan Recovery Life Llc

LBN: Spartan Recovery Life Llc
Spartan Recovery Life Llc is an health care organization with primary practice located at 919 12Th Pl Ste 13 , Prescott AZ 86305-1433. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Spartan Recovery Life Llc can be contacted via phone (833) 228-4222, or through Kimbro, Debra via phone (706) 633-3384.

Contact Information

Primary practice address
919 12Th Pl Ste 13 Prescott AZ 86305-1433
Phone: (833) 228-4222
Fax: (866) 697-2326
Website:
Map and Directions
Authorized official contact:
Name: Kimbro, Debra
Phone: (706) 633-3384

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1114565553
LBN Legal business name Spartan Recovery Life Llc
DBA Doing business as
Authorized official Kimbro, Debra
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2019
Last updated Dec 17th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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