OHIO VALLEY TEEN CHALLENGE INC NPI 1790278661

NPI Information

OHIO VALLEY TEEN CHALLENGE INC 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. OHIO VALLEY TEEN CHALLENGE INC NPI is 1790278661. The provider is registered as an organization entity type.
The provider Is Doing Business As H.o.p.e. Counseling And Addiction Services.

The provider's business location address is:

100 BROADWAY AVE
YOUNGSTOWN, OH
ZIP 44505-789
Phone: (330) 743-9030

The provider's authorized official is Carol Clemente Wagner .
The authorized official title is Chief Executive Officer and has the following contact phone number (330) 743-9030.

The CLIA number assigned to this NPI record is 36D2149859 - other - outpt addiction trtmt with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2018 and was last updated on 6/14/2018.

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:

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