| Organization Name: | ROAD TO RECOVERY LLC |
| NPI Number: | 1558661850 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PEGGY LEE COLLINS (EXECUTIVE DIRECTOR) |
| Mailing Address: | 613 Main St Neodesha |
| State: | KS US |
| Postal Code: | 667571632 |
| Phone Number: | 6203255222 |
| Fax Number: | 6203255222 |
| NPI Enumeration Date: | 11/02/2010 |
| NPI Last Update Date: | 11/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 07270941 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |