Healthcare Provider Details

I. General information

NPI: 1548179807
Provider Name (Legal Business Name): RECOVERY RESTORE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 BUCKEYE RD
LIMA OH
45804-1906
US

IV. Provider business mailing address

266 OLD ROSE DR
SUGAR GROVE NC
28679-9388
US

V. Phone/Fax

Practice location:
  • Phone: 334-652-9311
  • Fax:
Mailing address:
  • Phone: 334-652-9311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER KLEMAN
Title or Position: COO
Credential:
Phone: 334-652-9311