Provider Demographics
NPI:1679390520
Name:RECOVERY INNOVATIONS, INC
Entity type:Organization
Organization Name:RECOVERY INNOVATIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SAULPAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-898-7254
Mailing Address - Street 1:11361 N 99TH AVE STE 402
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-5459
Mailing Address - Country:US
Mailing Address - Phone:602-650-1212
Mailing Address - Fax:
Practice Address - Street 1:465 HARMON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223
Practice Address - Country:US
Practice Address - Phone:614-222-3737
Practice Address - Fax:614-358-4201
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RECOVERY INNOVATIONS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-23
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0142229Medicaid