Provider Demographics
NPI:1639594161
Name:RACE TO RECOVERY NOW
Entity Type:Organization
Organization Name:RACE TO RECOVERY NOW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MITCH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-348-7322
Mailing Address - Street 1:1999 SPROUL RD
Mailing Address - Street 2:10
Mailing Address - City:AVONDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19311-9720
Mailing Address - Country:US
Mailing Address - Phone:610-348-7322
Mailing Address - Fax:
Practice Address - Street 1:115 SHEEHAN RD
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:PA
Practice Address - Zip Code:19311-9720
Practice Address - Country:US
Practice Address - Phone:610-348-7322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility