1629339437 RE-CREATION RETREAT LLC
Mental Illness Community Based Residential Treatment Facility
Active
Basic Information
- Organization Name
- RE-CREATION RETREAT LLC
- Enumeration Date
- June 7, 2012
- Last Update
- November 21, 2012
- Authorized Official
- MR. RANDY K SODERQUIST LCSW
OWNER AND CLINICAL DIRECTOR
Phone: (435) 691-0856
Practice Location
- Address
- 455 SOUTH MAIN
FREDONIA, AZ 86022 - Phone
- (435) 691-0856
Mailing Address
- Address
- 380 W LOS BARANCOS LN
P.O. BOX 61
KANAB, UT 847413311 - Phone
- (435) 691-0856
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Substance Abuse Rehabilitation Facility | BH-3895 | AZ | No |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH-3895 | AZ | Primary |
Frequently Asked Questions
What is RE-CREATION RETREAT LLC's NPI number?
RE-CREATION RETREAT LLC's NPI number is 1629339437.
Which doctor has NPI number 1629339437?
The doctor with NPI number 1629339437 is RE-CREATION RETREAT LLC.
What is RE-CREATION RETREAT LLC's practice address?
RE-CREATION RETREAT LLC's practice address is 455 SOUTH MAIN, FREDONIA, AZ, 86022.
Which doctor practices at 455 SOUTH MAIN, FREDONIA, AZ, 86022?
RE-CREATION RETREAT LLC practices at 455 SOUTH MAIN, FREDONIA, AZ, 86022.
What is RE-CREATION RETREAT LLC's mailing address?
RE-CREATION RETREAT LLC's mailing address is 380 W LOS BARANCOS LN, P.O. BOX 61, KANAB, UT, 847413311.
What is RE-CREATION RETREAT LLC's phone number?
RE-CREATION RETREAT LLC's phone number is (435) 691-0856.
Who is (435) 691-0856?
(435) 691-0856 is the phone number for RE-CREATION RETREAT LLC.
What is RE-CREATION RETREAT LLC's specialty?
RE-CREATION RETREAT LLC's specialty is Mental Illness Community Based Residential Treatment Facility.
What type of doctor is RE-CREATION RETREAT LLC?
RE-CREATION RETREAT LLC is a Mental Illness Community Based Residential Treatment Facility.
Is RE-CREATION RETREAT LLC a Community Based Residential Treatment Facility, Mental Illness?
Yes, RE-CREATION RETREAT LLC is a Community Based Residential Treatment Facility, Mental Illness.
Is RE-CREATION RETREAT LLC still practicing?
Yes, RE-CREATION RETREAT LLC is currently practicing.
Is RE-CREATION RETREAT LLC accepting new patients?
RE-CREATION RETREAT LLC may be accepting new patients. Please call their office at (435) 691-0856 to inquire about availability.
Is NPI 1629339437 still active?
Yes, NPI 1629339437 is currently active.
Where does RE-CREATION RETREAT LLC practice?
RE-CREATION RETREAT LLC practices in FREDONIA, AZ.