MEDICARE: ARUVA TREAMENT AND RECOVERY CENTER

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
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1922951334
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARUVA TREAMENT AND RECOVERY CENTER

Provider Business Mailing Address
First Line	:	1972 E 83RD ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-4252
Country	:	US
Telephone Number	:	234-719-9375
Fax Number	:

Provider Business Practice Location Address
First Line	:	1972 E 83RD ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-4252
Country	:	US
Telephone Number	:	234-719-9375
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	UNIQUE L ROBERTS
Credential	:	DHA
Telephone Number	:	234-719-9375

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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