Provider Demographics
NPI:1992246573
Name:RECOVERY WELLNESS SERVICES INC
Entity type:Organization
Organization Name:RECOVERY WELLNESS SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:NDUNGU
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:717-430-4443
Mailing Address - Street 1:1 EAST MARKET STREET
Mailing Address - Street 2:STE 301
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17401-1612
Mailing Address - Country:US
Mailing Address - Phone:717-430-4443
Mailing Address - Fax:717-430-6524
Practice Address - Street 1:1 EAST MARKET STREET
Practice Address - Street 2:STE 301
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17401-1612
Practice Address - Country:US
Practice Address - Phone:717-430-4443
Practice Address - Fax:717-430-6524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty