Road to Recovery Behavorial Health Clinic, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ROAD TO RECOVERY BEHAVORIAL HEALTH CLINIC, LLC

Practice address

7441 W Greenfield Ave
Suite 15
West Allis, WI 53214-4676

Phone

(414) 258-7872

NPI assigned

Sep 13, 2012

Last updated

Oct 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Latanya Jones, LPC, SAC

Title

President

Phone

(414) 258-7872

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1710237052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7441 W GREENFIELD AVE",
            "address_2": "SUITE 15",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7441 W GREENFIELD AVE",
            "address_2": "SUITE 15",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144676",
            "telephone_number": "414-258-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAD TO RECOVERY BEHAVORIAL HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LATANYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-258-7872",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, SAC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in West Allis, WI
• Providers in West Allis, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.