Recovery Services Nwo | |
511 Perry St Defiance OH 43512-2123 | |
(419) 782-9920 | |
(419) 784-2523 |
Full Name | Recovery Services Nwo |
---|---|
Speciality | Community/behavioral Health |
Location | 511 Perry St, Defiance, Ohio |
Authorized Official Name and Position | Kenneth Bond (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4197829920 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Recovery Services Nwo 511 Perry St Defiance OH 43512-2123 Ph: (419) 782-9920 | Recovery Services Nwo 511 Perry St Defiance OH 43512-2123 Ph: (419) 782-9920 |
NPI Number | 1730448614 |
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Provider Enumeration Date | 05/11/2012 |
Last Update Date | 05/11/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730448614 | NPI | - | NPPES |
2864593 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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