NPIMap

Organization Active NPI

Arrow Passage Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Canton, OH
National Provider Identifier
1689028789
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ARROW PASSAGE RECOVERY
Practice address
4069 Bradley Cir NW
Canton, OH 44718-2565
Phone
(330) 830-4684
Fax
(330) 409-9081
NPI assigned
Apr 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Justin Thomas Boney, LPCC-SNPI 1205292521
Title
Clinical Director
Phone
(330) 209-0604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

4069 Bradley Cir NW
Canton, OH 44718-2565

Mailing address

4069 Bradley Cir NW
Canton, OH 44718-2565
Phone (844) 802-7769

Other practice location 1

1173 Manchester Ave SW
North Lawrence, OH 44666-9498
Phone (330) 830-4684

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2120329Arrow Passage Recovery4069 Bradley Circle NW, Canton, OH 44718Certificate of waiverOct 13, 2026

National Provider Directory

National Provider Directory

Locations

4069 Bradley Cir NW
Canton, OH 44718
Phone (330) 209-0604

721 Lincoln Way E
Massillon, OH 44646
Phone (844) 347-0543

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1689028789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4069 BRADLEY CIR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182565",
            "telephone_number": "844-802-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4069 BRADLEY CIR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182565",
            "telephone_number": "330-830-4684",
            "fax_number": "330-409-9081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1173 Manchester Ave SW",
            "address_purpose": "LOCATION",
            "city": "North Lawrence",
            "state": "OH",
            "postal_code": "446669498",
            "country_code": "US",
            "telephone_number": "330-830-4684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARROW PASSAGE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "BONEY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "330-209-0604",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.