Organization
RECOVERY IS POSSIBLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNTAP PATRICK (OWNER/LPN)
(419) 215-4131
Entity
Organization
Contact information
Practice address
757 PROUTY AVE, TOLEDO, OH 43609-3331
(419) 215-4131
Mailing address
757 PROUTY AVE, TOLEDO, OH 43609-3331
(419) 215-4131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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