Provider Demographics
NPI:1528747656
Name:RECOVERY HOUSE LLC.
Entity type:Organization
Organization Name:RECOVERY HOUSE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUFF
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:586-525-9080
Mailing Address - Street 1:491 E GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48207-3636
Mailing Address - Country:US
Mailing Address - Phone:248-569-7550
Mailing Address - Fax:248-569-7552
Practice Address - Street 1:491 E GRAND BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48207-3636
Practice Address - Country:US
Practice Address - Phone:248-569-7550
Practice Address - Fax:248-569-7552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder