| Irecovered Llc | |
|
803 Kamehameha Hwy Ste 309 Pearl City HI 96782-2638 | |
| (401) 684-8051 | |
| Not Available |
| Full Name | Irecovered Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 803 Kamehameha Hwy Ste 309, Pearl City, Hawaii |
| Authorized Official Name and Position | Edwin Johnson (DIRECTOR) |
| Authorized Official Contact | 4016848051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irecovered Llc 803 Kamehameha Hwy Ste 309 Pearl City HI 96782-2638 Ph: (401) 684-8051 | Irecovered Llc 803 Kamehameha Hwy Ste 309 Pearl City HI 96782-2638 Ph: (401) 684-8051 |
| NPI Number | 1366316754 |
|---|---|
| Provider Enumeration Date | 09/30/2025 |
| Last Update Date | 09/30/2025 |
| Certification Date | 09/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366316754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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