Organization
SOUL PATH RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN MANUEL DUARTE III (CEO)
(419) 283-8870
Entity
Organization
Contact information
Practice address
2211 RIVER RD, MAUMEE, OH 43537-3637
(419) 283-8870
Mailing address
2211 RIVER RD, MAUMEE, OH 43537-3637
(419) 283-8870
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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