Organization
ROOTS RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RAMOS (OWNER)
(570) 856-6491
Entity
Organization
Contact information
Practice address
164 N 9TH ST, LEBANON, PA 17046-4903
(570) 856-6491
Mailing address
328 GARDNER ST, JOHNSTOWN, PA 15905-2528
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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