| New Destiny Treatment Center Mental Health And Special Services Llc | |
|
6694 Taylor Rd Clinton OH 44216-9201 | |
| (330) 825-5202 | |
| (330) 825-5113 |
| Full Name | New Destiny Treatment Center Mental Health And Special Services Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6694 Taylor Rd, Clinton, Ohio |
| Authorized Official Name and Position | Robert W. Bolois (CEO) |
| Authorized Official Contact | 3308255202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Destiny Treatment Center Mental Health And Special Services Llc 6694 Taylor Rd Clinton OH 44216-9201 Ph: (330) 825-5202 | New Destiny Treatment Center Mental Health And Special Services Llc 6694 Taylor Rd Clinton OH 44216-9201 Ph: (330) 825-5202 |
| NPI Number | 1255047494 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255047494 | NPI | - | NPPES |
| 0425321 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
New Destiny Treatment Center Mental Health And Special Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6694 Taylor Rd, Clinton, OH 44216 Phone: 330-825-5202 | |
New Destiny Treatment Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6694 Taylor Rd, Clinton, OH 44216 Phone: 330-825-5202 Fax: 330-825-5113 |