# RECOVERY CENTER OF PENNSLYVANIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Recovery Center of Ohio, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992468169
- **Authorized official:** DR. WARRICK TREMAYNE STEWART (CEO)
- **Authorized official phone:** (704) 901-4916

## Contact information

- **Practice address:** 7345 FAR HILLS AVE, DAYTON, OH 45459-4472
- **Practice address phone:** (704) 901-4916
- **Practice address fax:** (800) 291-7239
- **Mailing address:** 7345 FAR HILLS AVE, DAYTON, OH 45459-4472
- **Mailing address phone:** (704) 901-4916
- **Mailing address fax:** (800) 291-7239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2021
- **Last updated:** 10/14/2021