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Spartan Recovery Life LLC

Substance Use Disorder Rehabilitation Clinic/Center in Prescott, AZ · enumerated 2019 · authorized official Debra Kimbro, Director of Finance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114565553

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Registry record

Entity type Organization (Type 2)
Legal business name Spartan Recovery Life LLC
Practice address 919 12th Pl Ste 13, Prescott, AZ, 86305
Phone (833) 228-4222
Fax (866) 697-2326
Enumeration date Dec 17, 2019
Last updated in NPPES Dec 17, 2019

Taxonomy & classification

103TA0400X Addiction (Substance Use Disorder) Psychologist Behavioral Health & Social Service Providers Secondary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Debra Kimbro
Title Director of Finance
Phone (706) 633-3384

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Spartan Recovery Life LLC?
Spartan Recovery Life LLC is registered in NPPES as a Substance Use Disorder Rehabilitation Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-12-17.