Healthcare Provider Details

I. General information

NPI: 1487598215
Provider Name (Legal Business Name): ROBIN RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 GRANGER RD
INDEPENDENCE OH
44131
US

IV. Provider business mailing address

600 E GRANGER RD
INDEPENDENCE OH
44131-6704
US

V. Phone/Fax

Practice location:
  • Phone: 330-469-1663
  • Fax:
Mailing address:
  • Phone: 330-469-1663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JERRY DEAN HARTMAN JR.
Title or Position: CDCA
Credential: CDCA
Phone: 330-469-1663