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257 Hopeland St Bldg A Dayton OH 45417-3420 | |
| (937) 535-7115 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 257 Hopeland St Bldg A, Dayton, Ohio |
| Authorized Official Name and Position | Nicholas Mills (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2162121267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6636 Longshore St Ste 200 Dublin OH 43017-2943 Ph: () - | 257 Hopeland St Bldg A Dayton OH 45417-3420 Ph: (937) 535-7115 |
| NPI Number | 1831961671 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 11/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831961671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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