Road to Recovery

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ROAD TO RECOVERY

Practice address

9304 Forest Lane
Suite 269 North
Dallas, TX 75243

Phone

(214) 503-3764

Fax

(214) 503-3735

NPI assigned

Oct 31, 2006

Reactivated

Sep 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Wendy Sue Rickman

Title

Owner

Phone

(214) 503-3764

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1083790141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9304 FOREST LANE",
            "address_2": "SUITE 269 NORTH",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "214-503-3764",
            "fax_number": "214-503-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9304 FOREST LANE",
            "address_2": "SUITE 269 NORTH",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "214-503-3764",
            "fax_number": "214-503-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAD TO RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-09-02",
        "deactivation_date": "2008-07-29",
        "reactivation_date": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "RICKMAN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-503-3764",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655227",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ro St & Associates LLC
• Alan Roach, RPH, DPH
• Holly Beth Roach, OTR, ATP
• Kelly M Roach, PT
• Simoney Roache
• Brandon Roane, MD
• Courtney Roark, MD
• Gregory Allen Roark, MS, ATC, LAT
• Kimberly Dayle Roaten, PHD
• Shelley Poe Roaten Jr., MD

• Substance Use Disorder Rehabilitation Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.