Provider Demographics
NPI:1144068545
Name:COMMUNITY HEALTHCARE AND RECOVERY SERVICES LLC
Entity type:Organization
Organization Name:COMMUNITY HEALTHCARE AND RECOVERY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:UCHECHUKWU
Authorized Official - Middle Name:
Authorized Official - Last Name:IFEJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-838-0497
Mailing Address - Street 1:9701 APOLLO DR STE 293
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-4789
Mailing Address - Country:US
Mailing Address - Phone:301-806-0021
Mailing Address - Fax:
Practice Address - Street 1:9701 APOLLO DR STE 293
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-4789
Practice Address - Country:US
Practice Address - Phone:301-806-0021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty