Healthcare Provider Details

I. General information

NPI: 1952978686
Provider Name (Legal Business Name): RIGHT PATH RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2021
Last Update Date: 07/19/2021
Certification Date: 07/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 KINGSMILL PKWY
COLUMBUS OH
43229-1143
US

IV. Provider business mailing address

1050 KINGSMILL PKWY
COLUMBUS OH
43229-1143
US

V. Phone/Fax

Practice location:
  • Phone: 614-907-5434
  • Fax: 614-939-2357
Mailing address:
  • Phone: 614-907-5434
  • Fax: 614-939-2357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAWRENCE RICHARD BERK
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 614-907-5434