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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up