| California Palms Addiction Recovery Campus Inc. | |
|
1051 N Canfield Niles Rd Austintown OH 44515-1110 | |
| (800) 262-3742 | |
| Not Available |
| Full Name | California Palms Addiction Recovery Campus Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1051 N Canfield Niles Rd, Austintown, Ohio |
| Authorized Official Name and Position | Sebastian Rucci (OWNER CEO) |
| Authorized Official Contact | 8002623742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Palms Addiction Recovery Campus Inc. 1051 N Canfield Niles Rd Austintown OH 44515-1110 Ph: () - | California Palms Addiction Recovery Campus Inc. 1051 N Canfield Niles Rd Austintown OH 44515-1110 Ph: (800) 262-3742 |
| NPI Number | 1306440292 |
|---|---|
| Provider Enumeration Date | 11/23/2020 |
| Last Update Date | 11/23/2020 |
| Certification Date | 11/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306440292 | NPI | - | NPPES |
| 0342236 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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