Provider Demographics
NPI:1861089690
Name:FIRST CITY RECOVERY CENTER
Entity type:Organization
Organization Name:FIRST CITY RECOVERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:WITTECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-258-5516
Mailing Address - Street 1:317 W JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46901-4437
Mailing Address - Country:US
Mailing Address - Phone:561-707-7715
Mailing Address - Fax:
Practice Address - Street 1:317 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46901-4437
Practice Address - Country:US
Practice Address - Phone:765-614-3580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-28
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility