Recovery Road Runners Nonprofit Organization

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

RECOVERY ROAD RUNNERS NONPROFIT ORGANIZATION

Practice address

3110 Duncan Rd Unit 327
San Luis Obispo, CA 93401-6846

Phone

(805) 441-0083

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Amber Graziano

Title

President, Founder

Phone

(805) 441-0083

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1306603774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 DUNCAN RD UNIT 327",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016846",
            "telephone_number": "805-441-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 DUNCAN RD UNIT 327",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016846",
            "telephone_number": "805-441-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY ROAD RUNNERS NONPROFIT ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-03",
        "status": "A",
        "authorized_official_last_name": "GRAZIANO",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "PRESIDENT, FOUNDER",
        "authorized_official_telephone_number": "805-441-0083"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Reade, RBT
• Maryann MC Ghee Reardon, LCSW
• Rebecca Velasquez, Licensed Clinical Social Worker & Associates, Inc.
• Filomena R Rebelo, PHD
• Martha Soledad Reck
• Brian Redin
• Rama Redwine, ASW
• Kendra Reed
• Matthew Reed
• Melissa Anne Reed

• Substance Use Disorder Rehabilitation Clinic/Center in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.