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680 Northland Blvd Forest Park OH 45240-3248 | |
(513) 941-4999 | |
(513) 941-7555 |
Full Name | |
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Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
Location | 680 Northland Blvd, Forest Park, Ohio |
Authorized Official Name and Position | Steven Smith (COO) |
Authorized Official Contact | 5134673772 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6460 Harrison Ave Ste 200 Cincinnati OH 45247-7958 Ph: (513) 941-4999 | 680 Northland Blvd Forest Park OH 45240-3248 Ph: (513) 941-4999 |
NPI Number | 1598120214 |
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Provider Enumeration Date | 12/22/2015 |
Last Update Date | 06/03/2024 |
Certification Date | 06/03/2024 |
Identifier | Type | State | Issuer |
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1598120214 | NPI | - | NPPES |
0078786 | Medicaid | OH | |
0313320 | Medicaid | OH |