Organization
ROAD TO RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEGGY LEE COLLINS BSW, AAPS (EXECUTIVE DIRECTOR)
(620) 325-5222
Entity
Organization
Contact information
Practice address
613 MAIN ST, NEODESHA, KS 66757-1632
(620) 325-5222
(620) 325-5222
Mailing address
613 MAIN ST, NEODESHA, KS 66757-1632
(620) 325-5222
(620) 325-5222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07270941
KS
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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