| On Demand Opiate Recovery, Llc | |
|
102 Westchester Dr Austintown OH 44515-3963 | |
| (330) 270-3660 | |
| Not Available |
| Full Name | On Demand Opiate Recovery, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 102 Westchester Dr, Austintown, Ohio |
| Authorized Official Name and Position | Tom Ivany (CEO/OWNER) |
| Authorized Official Contact | 3302703660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| On Demand Opiate Recovery, Llc 102 Westchester Dr Austintown OH 44515-3963 Ph: (330) 270-3660 | On Demand Opiate Recovery, Llc 102 Westchester Dr Austintown OH 44515-3963 Ph: (330) 270-3660 |
| NPI Number | 1730622895 |
|---|---|
| Provider Enumeration Date | 11/22/2016 |
| Last Update Date | 11/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730622895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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