Organization
ROADS TO RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HALEY MOODY (ADMINISTRATOR)
(937) 207-2788
Entity
Organization
Contact information
Practice address
5383 INTRASTATE DR, FAIRBORN, OH 45324-6158
(937) 207-2788
Mailing address
5383 INTRASTATE DR, FAIRBORN, OH 45324-6158
(937) 207-2788
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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