Provider Demographics
NPI:1649500471
Name:ROADS TO RECOVERY INC.
Entity type:Organization
Organization Name:ROADS TO RECOVERY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-765-0302
Mailing Address - Street 1:211 1/2 E LOCUST ST
Mailing Address - Street 2:SUITE #7
Mailing Address - City:CLEARFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:16830-2419
Mailing Address - Country:US
Mailing Address - Phone:814-765-0302
Mailing Address - Fax:814-765-0262
Practice Address - Street 1:211 1/2 E LOCUST ST
Practice Address - Street 2:SUITE #7
Practice Address - City:CLEARFIELD
Practice Address - State:PA
Practice Address - Zip Code:16830-2419
Practice Address - Country:US
Practice Address - Phone:814-765-0302
Practice Address - Fax:814-765-0262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health