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General NPI Number Information
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NPI Number | 1821903865
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Entity Type | Organization
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Legal Business Name | ROAD 2 RECOVERY TREATMENT CENTER, LLC
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Dates
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Enumeration Date | 08/15/2026
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Last Update Date | 08/15/2026
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Provider Practice Location Address
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Address Line | 1557 CORDELL AVE
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City | COLUMBUS
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State | OH
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Zip | 43211-1617
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Country | US
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Telephone | 614-670-4101
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Fax |
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Provider Business Mailing Address
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Address Line | 1557 CORDELL AVE
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City | COLUMBUS
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State | OH
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Zip | 43211-1617
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Country | US
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Telephone | 614-670-4101
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | TONISHA ELDER
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Credential | LPCC-S
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Telephone | 380-267-8285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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