Provider Demographics
NPI:1902358591
Name:ROAD 2 RECOVERY COMMUNITY SERVICES, INC.
Entity Type:Organization
Organization Name:ROAD 2 RECOVERY COMMUNITY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-615-6936
Mailing Address - Street 1:21020 S 80TH AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-9186
Mailing Address - Country:US
Mailing Address - Phone:815-600-8035
Mailing Address - Fax:815-600-8036
Practice Address - Street 1:21020 S 80TH AVE
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-9186
Practice Address - Country:US
Practice Address - Phone:815-600-8035
Practice Address - Fax:815-600-8036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-29
Last Update Date:2016-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management