Healthcare Provider Details

I. General information

NPI: 1891389466
Provider Name (Legal Business Name): WARREN RECOVERY GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2021
Last Update Date: 06/14/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3570 WARRENSVILLE CENTER RD STE 211
SHAKER HEIGHTS OH
44122-5210
US

IV. Provider business mailing address

1457 CENTRAL PARKWAY AVE SE
WARREN OH
44484-4458
US

V. Phone/Fax

Practice location:
  • Phone: 216-238-4434
  • Fax:
Mailing address:
  • Phone: 330-406-9690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. DANDRE BOWERS
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 330-271-8486