| Lorain County Alcohol & Drug Abuse Services, Inc. | |
|
2115 W Park Dr Lorain OH 44053-1138 | |
| (440) 282-4777 | |
| (440) 282-4779 |
| Full Name | Lorain County Alcohol & Drug Abuse Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2115 W Park Dr, Lorain, Ohio |
| Authorized Official Name and Position | Joseph C Carver (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4409894981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorain County Alcohol & Drug Abuse Services, Inc. 2115 W Park Dr Lorain OH 44053-1138 Ph: (440) 282-4777 | Lorain County Alcohol & Drug Abuse Services, Inc. 2115 W Park Dr Lorain OH 44053-1138 Ph: (440) 282-4777 |
| NPI Number | 1053659607 |
|---|---|
| Provider Enumeration Date | 01/16/2013 |
| Last Update Date | 06/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053659607 | NPI | - | NPPES |
| 2863816 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2147 (Ohio) | Primary |
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