OrganizationActive
Recovery Revolution, Inc.
NPI 1114070307 · Voluntary or Charitable Agency · Bangor, PA
Provider details
- NPI number
- 1114070307
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jana Morris, Executive Director(610) 599-7700
- License
- 487033 (PA)
Specialties & taxonomies
Agencies
Practice location
109 Broadway
Bangor, PA 18013-2505
Phone: (610) 599-7700
Fax: (610) 599-7714
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 746
Bangor, PA 18013-0746
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2021-12-02
- Certified
- 2021-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.