| Alcohol And Addiction Program | |
|
897 E Iron Ave Dover OH 44622-2030 | |
| (330) 343-5555 | |
| (330) 364-8946 |
| Full Name | Alcohol And Addiction Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 897 E Iron Ave, Dover, Ohio |
| Authorized Official Name and Position | Linda Jane Fanning (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3303434928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alcohol And Addiction Program 897 E Iron Ave Dover OH 44622-2030 Ph: (330) 343-5555 | Alcohol And Addiction Program 897 E Iron Ave Dover OH 44622-2030 Ph: (330) 343-5555 |
| NPI Number | 1124388517 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 05/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124388517 | NPI | - | NPPES |
| 1556 | Other | OH | OHIO DEPARTMENT OF ALCOHOL AND DRUG ADDICTION SERVICES |
| 1520 | Other | OH | OHIO DEPARTMENT OF ALCOHOL AND DRUG ADDICTION SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1520 (Ohio) | Primary |
| 251S00000X | Community/behavioral Health | 1556 (Ohio) | Secondary |
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