| Recovery For The City International Inc. | |
|
228 N Lynnhaven Rd Ste 118 Virginia Beach VA 23452-7514 | |
| (757) 456-0093 | |
| (757) 456-0875 |
| Full Name | Recovery For The City International Inc. |
|---|---|
| Speciality | Counselor |
| Location | 228 N Lynnhaven Rd Ste 118, Virginia Beach, Virginia |
| Authorized Official Name and Position | Paul Allen Hardy (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7574560093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery For The City International Inc. Po Box 2546 Virginia Beach VA 23450-2546 Ph: (757) 340-3489 | Recovery For The City International Inc. 228 N Lynnhaven Rd Ste 118 Virginia Beach VA 23452-7514 Ph: (757) 456-0093 |
| NPI Number | 1316597537 |
|---|---|
| Provider Enumeration Date | 09/19/2019 |
| Last Update Date | 06/25/2020 |
| Certification Date | 06/25/2020 |
| Medicare PECOS PAC ID | 5597297697 |
|---|---|
| Medicare Enrollment ID | O20241014004801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316597537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Provider Name | Chavon Blowe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427688126 PECOS PAC ID: 1355881293 Enrollment ID: I20241021001519 |
| Provider Name | Edgardo Enrique Rocha |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013552900 PECOS PAC ID: 0547780090 Enrollment ID: I20250227000633 |
| Provider Name | Margaret Detwiler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366979106 PECOS PAC ID: 2668999467 Enrollment ID: I20250506000797 |
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