FAMILY RECOVERY, LLC; NPI #1588905723

Contact Information

FAMILY RECOVERY, LLC

1101 E 3RD ST
WILLIAMSPORT, PA 17701-5411

Phone: 570-505-3180
Fax: 570-505-3184
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Addiction Medicine	207QA0401X	08	Physician/Family Practice
Addiction Medicine	207RA0401X	11	Physician/Internal Medicine
Addiction Medicine	207LA0401X	05	Physician/Anesthesiology
Addiction Medicine	2084A0401X	79	Physician/Addiction Medicine
Addiction Psychiatry	2084P0802X	86	Physician/Neuropsychiatry
Emergency Medical Services	207PE0004X	93	Physician/Emergency Medicine
Family Medicine	207Q00000X	08	Physician/Family Practice
Geriatric Medicine	207RG0300X	11	Physician/Internal Medicine
Hospitalist	208M00000X
Obstetrics & Gynecology	207V00000X	16	Physician/Obstetrics & Gynecology
Pain Medicine	207LP2900X	05	Physician/Anesthesiology
Pain Medicine	208VP0000X	72	Physician/Pain Management
Rehabilitation, Substance Use Disorder	261QR0405X

Indicates primary specialty

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NPI Profile & details for FAMILY RECOVERY, LLC

NPI # 1588905723

LBN Legal business name FAMILY RECOVERY, LLC

Authorized official BRUCE JARVIE - (VP, TREASURER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/13/2013

Last updated 07/29/2024 - More than a year ago

Identifiers

	License #	MD042726L
PA	License #	MD018954E
PA	License #	MD036563L
PA	License #	MD039704E
PA	License #	MD042726L
PA	License #	MD045007L
PA	License #	MD433062
PA	License #	MD443569
PA	License #	OS014721

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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FAMILY RECOVERY, LLC

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NPI Profile & details for FAMILY RECOVERY, LLC

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