Provider Demographics
NPI:1053901900
Name:RECOVERY IN MOTION LLC
Entity type:Organization
Organization Name:RECOVERY IN MOTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:BLAIR
Authorized Official - Last Name:POLITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-816-0343
Mailing Address - Street 1:42080 W SOMERSET DR
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-3277
Mailing Address - Country:US
Mailing Address - Phone:336-816-0343
Mailing Address - Fax:844-614-6133
Practice Address - Street 1:42080 W SOMERSET DR
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-3277
Practice Address - Country:US
Practice Address - Phone:336-816-0343
Practice Address - Fax:844-614-6133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health