Provider Demographics
NPI:1164788139
Name:THE ROAD TO RECOVERY, INC
Entity Type:Organization
Organization Name:THE ROAD TO RECOVERY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROCIO
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, MAC
Authorized Official - Phone:770-220-2885
Mailing Address - Street 1:3155 PRESIDENTIAL DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30340-3924
Mailing Address - Country:US
Mailing Address - Phone:770-220-2885
Mailing Address - Fax:678-990-1496
Practice Address - Street 1:3155 PRESIDENTIAL DR
Practice Address - Street 2:SUITE 104
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30340-3924
Practice Address - Country:US
Practice Address - Phone:770-220-2885
Practice Address - Fax:678-990-1496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0326829251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health