| Mahoning Valley Resource Initiative | |
|
837 Boardman Canfield Rd Boardman OH 44512-4233 | |
| (330) 754-1610 | |
| Not Available |
| Full Name | Mahoning Valley Resource Initiative |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 837 Boardman Canfield Rd, Boardman, Ohio |
| Authorized Official Name and Position | David Shaffer (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3305654203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahoning Valley Resource Initiative 230 Clingan Rd Struthers OH 44471-3104 Ph: (330) 565-4204 | Mahoning Valley Resource Initiative 837 Boardman Canfield Rd Boardman OH 44512-4233 Ph: (330) 754-1610 |
| NPI Number | 1922524685 |
|---|---|
| Provider Enumeration Date | 08/15/2017 |
| Last Update Date | 08/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922524685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 991495 (Ohio) | Primary |
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