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NPI Code Detail

MEDICARE: WARREN RECOVERY GROUP INC

MEDICARE: WARREN RECOVERY GROUP INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
23245S0500XChildren's Substance Abuse Rehabilitation Facility
3207RA0401XAddiction Medicine (Internal Medicine) Physician
4261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
5251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891389466
Entity Type Code : Organization
Provider Name (Legal Business Name) : WARREN RECOVERY GROUP INC
Provider Business Mailing Address
First Line : 1457 CENTRAL PARKWAY AVE SE
Second Line :
City : WARREN
State : OH
Zip : 44484-4458
Country : US
Telephone Number : 330-406-9690
Fax Number :
Provider Business Practice Location Address
First Line : 3570 WARRENSVILLE CENTER RD STE 211
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5210
Country : US
Telephone Number : 216-238-4434
Fax Number :
Authorized Official
Title or Position : MANAGING DIRECTOR
Name : MR. DANDRE BOWERS
Credential :
Telephone Number : 330-271-8486
Provider Enumeration Date : 02/24/2021
Last Update Date : 06/14/2026

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