NPI: 1992468169
Provider Name: RECOVERY CENTER OF PENNSLYVANIA, LLC
Doing Business As: RECOVERY CENTER OF OHIO, LLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization
Specialization: Primary Care
Address:
7345 FAR HILLS AVE
DAYTON, OH
ZIP 45459
Phone: (704) 901-4916
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RECOVERY CENTER OF PENNSLYVANIA, LLC is a primary care nurse practitioner in Dayton, OH. RECOVERY CENTER OF PENNSLYVANIA, LLC NPI is 1992468169. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Recovery Center Of Ohio, Llc.
The provider's business location address is:
7345 FAR HILLS AVE
DAYTON, OH
ZIP 45459-472
Phone: (704) 901-4916
Fax: (800) 291-7239
The provider's authorized official is Warrick Tremayne Stewart .
The authorized official title is Ceo and has the following contact phone number (704) 901-4916.
The enumeration date for this NPI number is 10/14/2021 and was last updated on 10/14/2021.