Provider Demographics
NPI:1023558889
Name:ALL ROADS RECOVERY LLC
Entity type:Organization
Organization Name:ALL ROADS RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:STERLING
Authorized Official - Middle Name:E
Authorized Official - Last Name:TITUS
Authorized Official - Suffix:
Authorized Official - Credentials:CDCA
Authorized Official - Phone:937-287-7368
Mailing Address - Street 1:40 GREENHILL RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45405-1112
Mailing Address - Country:US
Mailing Address - Phone:937-287-6246
Mailing Address - Fax:937-278-6598
Practice Address - Street 1:411 RYBURN AVE APT 1
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45405-2560
Practice Address - Country:US
Practice Address - Phone:937-522-5907
Practice Address - Fax:937-278-6598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-27
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.162643324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility