Organization
RECOVERY 369 LLC
Active
Other names
Recovery 369
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO M CARDONA JR. CAPRC II (OWNER / RECOVERY COACH)
(574) 369-9664
Entity
Organization
Contact information
Practice address
7411 ASPECT DR UNIT 103, GRANGER, IN 46530-7755
(574) 369-9664
Mailing address
7411 ASPECT DR UNIT 103, GRANGER, IN 46530-7755
(574) 369-9664
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CAPRC2-5368
ICAADA
IN
Enumeration date
09/08/2023
Last updated
09/11/2023
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