Provider Demographics
NPI:1235829235
Name:ROAD 2 RECOVERY
Entity Type:Organization
Organization Name:ROAD 2 RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ARMISTEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-339-5671
Mailing Address - Street 1:12900 BROOKPRINTER PL STE 400
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-6834
Mailing Address - Country:US
Mailing Address - Phone:760-436-1366
Mailing Address - Fax:
Practice Address - Street 1:12900 BROOKPRINTER PL STE 400
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-6834
Practice Address - Country:US
Practice Address - Phone:760-436-1366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable