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KEYSTONE RICHLAND CENTER LLC NPI 1750648424


NPI Information

NPI: 1750648424
Provider Name: KEYSTONE RICHLAND CENTER, LLC

Doing Business As: FOUNDATIONS FOR LIVING AOD

Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
1451 LUCAS RD
MANSFIELD, OH
ZIP 44903
Phone: (419) 589-5511
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KEYSTONE RICHLAND CENTER, LLC is a substance abuse treatment and children substance abuse rehabilitation facility in Mansfield, OH. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. KEYSTONE RICHLAND CENTER, LLC NPI is 1750648424. The provider is registered as an organization entity type.
The provider Is Doing Business As Foundations For Living Aod.

The provider's business location address is:

1451 LUCAS RD
MANSFIELD, OH
ZIP 44903-682
Phone: (419) 589-5511
Fax: (615) 250-1000

The provider's authorized official is Connie Rebane .
The authorized official title is Ceo and has the following contact phone number (419) 589-5511.

The enumeration date for this NPI number is 4/18/2012 and was last updated on 4/18/2012.


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
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children11-2079OHIOYes

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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