Port45 Recovery Llc | |
1907 11th St Portsmouth OH 45662-4531 | |
(740) 529-7356 | |
Not Available |
Full Name | Port45 Recovery Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 1907 11th St, Portsmouth, Ohio |
Authorized Official Name and Position | Bryan Mcbride (FINANCIAL EXECUTIVE) |
Authorized Official Contact | 6145914710 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Port45 Recovery Llc 921 Eastwind Dr Ste 101 Westerville OH 43081-5302 Ph: (614) 591-4710 | Port45 Recovery Llc 1907 11th St Portsmouth OH 45662-4531 Ph: (740) 529-7356 |
NPI Number | 1053944033 |
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Provider Enumeration Date | 02/18/2020 |
Last Update Date | 02/18/2020 |
Certification Date | 02/18/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053944033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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