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VALOR RECOVERY CENTER OF YOUNGSTOWN LLC NPI 1366912933


NPI Information

NPI: 1366912933
Provider Name: VALOR RECOVERY CENTER OF YOUNGSTOWN LLC

Doing Business As: MIDWEST CENTER OF YOUNGSTOWN

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 36D2155718

Address:
45 N CANFIELD NILES RD
YOUNGSTOWN, OH
ZIP 44515
Phone: (330) 330-8777
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VALOR RECOVERY CENTER OF YOUNGSTOWN LLC is a substance abuse rehabilitation facility in Youngstown, OH. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. VALOR RECOVERY CENTER OF YOUNGSTOWN LLC NPI is 1366912933. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Center Of Youngstown.

The provider's business location address is:

45 N CANFIELD NILES RD
YOUNGSTOWN, OH
ZIP 44515-343
Phone: (330) 330-8777
Fax: (330) 642-8242

The provider's authorized official is Kim Brown .
The authorized official title is Director Of Compliance and has the following contact phone number (870) 243-7219.

The CLIA number assigned to this NPI record is 36D2155718 - other - sustance use trtmt ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/27/2018 and was last updated on 3/11/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3324500000XSubstance Abuse Rehabilitation FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10458166MEDICAIDOHIO
20459544MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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