Organization
RECOVERY ROAD RUNNERS NONPROFIT ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER GRAZIANO (PRESIDENT, FOUNDER)
(805) 441-0083
Entity
Organization
Contact information
Practice address
3110 DUNCAN RD UNIT 327, SAN LUIS OBISPO, CA 93401-6846
(805) 441-0083
Mailing address
3110 DUNCAN RD UNIT 327, SAN LUIS OBISPO, CA 93401-6846
(805) 441-0083
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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