PINNACLE TREATMENT CENTERS OH-XI LLC NPI 1023621042

NPI Information

PINNACLE TREATMENT CENTERS OH-XI, LLC is a methadone clinic center in Brilliant, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. PINNACLE TREATMENT CENTERS OH-XI, LLC NPI is 1023621042. The provider is registered as an organization entity type.

The provider's business location address is:

1479 3RD ST
BRILLIANT, OH
ZIP 43913-000
Phone: (740) 598-2054

The provider's authorized official is Robyn Tanis .
The authorized official title is Executive Director Of Contract Mgmt and has the following contact phone number (856) 533-8762.

The CLIA number assigned to this NPI record is 36D2196990 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2020 and was last updated on 8/28/2020.

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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