| Northland Intervention Center | |
|
25 Whitney Drive, Suite 122 Milford OH 45150 | |
| (513) 753-9964 | |
| (513) 753-9968 |
| Full Name | Northland Intervention Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 25 Whitney Drive, Suite 122, Milford, Ohio |
| Authorized Official Name and Position | Deeann N. Mock (C.O.O.) |
| Authorized Official Contact | 5137539964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northland Intervention Center 25 Whitney Drive, Suite 122 Milford OH 45150 Ph: (513) 753-9964 | Northland Intervention Center 25 Whitney Drive, Suite 122 Milford OH 45150 Ph: (513) 753-9964 |
| NPI Number | 1912094699 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912094699 | NPI | - | NPPES |
| 10698 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10698 (Ohio) | Primary |
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