Provider Demographics
NPI:1073309860
Name:RECOVER CLARITY LLC
Entity type:Organization
Organization Name:RECOVER CLARITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:CULLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-543-2230
Mailing Address - Street 1:509 GALLERIA DRIVE
Mailing Address - Street 2:STE 1009
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904
Mailing Address - Country:US
Mailing Address - Phone:888-543-2230
Mailing Address - Fax:
Practice Address - Street 1:509 GALLERIA DRIVE
Practice Address - Street 2:STE 1009
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904
Practice Address - Country:US
Practice Address - Phone:888-543-2230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty