Provider Demographics
NPI:1760009765
Name:THE RECOVERY CONNECTION LLC
Entity type:Organization
Organization Name:THE RECOVERY CONNECTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FUNKHOUSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-686-0864
Mailing Address - Street 1:PO BOX 2724
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22604-1924
Mailing Address - Country:US
Mailing Address - Phone:540-686-0864
Mailing Address - Fax:540-504-7818
Practice Address - Street 1:320 WESTSIDE STATION DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2839
Practice Address - Country:US
Practice Address - Phone:540-504-7671
Practice Address - Fax:540-504-7818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-25
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No251B00000XAgenciesCase Management