Healthcare Provider Details

I. General information

NPI: 1194675603
Provider Name (Legal Business Name): RECOVERY TREATMENT TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 02/03/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3208 KENAN RD
DURHAM NC
27704-2024
US

IV. Provider business mailing address

3208 KENAN RD
DURHAM NC
27704-2024
US

V. Phone/Fax

Practice location:
  • Phone: 919-323-7428
  • Fax:
Mailing address:
  • Phone: 919-323-7428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: HILFRED JOHNSON
Title or Position: CEO
Credential:
Phone: 919-323-7428