Recovery Road Charitable Non Profit Organization

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

RECOVERY ROAD CHARITABLE NON PROFIT ORGANIZATION

Practice address

961 Alpine Ave NW
Grand Rapids, MI 49504-4451

Phone

(616) 915-0594

NPI assigned

Jul 10, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Preston R Smith

Title

Treasurer

Phone

(269) 792-4173

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1578828083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2666 SEYMOUR DR",
            "city": "SHELBYVILLE",
            "state": "MI",
            "postal_code": "493449523",
            "telephone_number": "269-792-4173",
            "fax_number": "269-792-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 ALPINE AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044451",
            "telephone_number": "616-915-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY ROAD CHARITABLE NON PROFIT ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "269-792-4173",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Reckow, PHD
• Reclaim Life Therapy PLLC
• Reconciliation of Life
• Recover Health, PLLC
• Recover Peace LLC
• Recovery Road LLC
• Kay Marie Rector, MPT
• Red Brick Counseling LLC
• Brandi Redd
• Colten Redder, PHARMD

• Addiction (Substance Use Disorder) Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.