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UNITED RECOVERY CENTERS
NPI 1629651971
Internal Medicine - Addiction Medicine in Wildwood, MO

Active since May 04, 2021
17781 HORNBEAN DR, WILDWOOD, MO 63005(760) 908-1253 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About United Recovery Centers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNITED RECOVERY CENTERS (NPI 1629651971) is a healthcare organization registered as an addiction medicine in Wildwood, Missouri and active in the NPI registry since May 2021. The organization lists Sarfaraz Abdeali Jasdanwala, Owner, as its authorized official.

NPPES Registry Identity

NPI1629651971
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameUNITED RECOVERY CENTERS
Location Address17781 HORNBEAN DRWildwood, MO 63005-4229
Mailing Address17781 Hornbean DrWildwood, MO 63005-4229 · (760) 908-1253
Phone(760) 908-1253
Organization SubpartNo
Authorized OfficialSarfaraz Abdeali JasdanwalaOwner · (312) 953-5636
Enumeration DateMay 4, 2021
NPPES CertifiedMay 4, 2021
✔ NPI 1629651971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
17781 HORNBEAN DR, Wildwood, MO 63005
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ILLINOIS RURAL HEALTHCARE
Internal Medicine
17781 HORNBEAN DR
WILDWOOD, MO 63005
St. Louis County (312) 953-5636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is United Recovery Centers's NPI number?

The NPI number for United Recovery Centers is 1629651971. It was assigned to this organization in the NPPES registry on May 4, 2021.

Where is United Recovery Centers located?

United Recovery Centers is located at 17781 Hornbean Dr, Wildwood, MO 63005. The listed phone number is (760) 908-1253.

What is United Recovery Centers's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for United Recovery Centers was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.