| Soul Path Recovery Center Llc | |
|
2211 River Rd Maumee OH 43537-3637 | |
| (419) 283-8870 | |
| Not Available |
| Full Name | Soul Path Recovery Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2211 River Rd, Maumee, Ohio |
| Authorized Official Name and Position | Juan Manuel Duarte (CEO) |
| Authorized Official Contact | 4192838870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Path Recovery Center Llc 2211 River Rd Maumee OH 43537-3637 Ph: (419) 283-8870 | Soul Path Recovery Center Llc 2211 River Rd Maumee OH 43537-3637 Ph: (419) 283-8870 |
| NPI Number | 1710852561 |
|---|---|
| Provider Enumeration Date | 10/09/2025 |
| Last Update Date | 10/09/2025 |
| Certification Date | 10/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710852561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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