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General NPI Number Information
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NPI Number | 1689028789
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Entity Type | Organization
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Legal Business Name | ARROW PASSAGE RECOVERY
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Dates
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Enumeration Date | 04/15/2016
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 4069 BRADLEY CIR NW
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City | CANTON
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State | OH
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Zip | 44718-2565
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Country | US
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Telephone | 330-830-4684
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Fax | 330-409-9081
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Provider Business Mailing Address
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Address Line | 4069 BRADLEY CIR NW
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City | CANTON
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State | OH
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Zip | 44718-2565
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Country | US
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Telephone | 844-802-7769
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | JUSTIN THOMAS BONEY
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Credential | LPCC-S
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Telephone | 330-209-0604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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