TEAM RECOVERY OHIO LLC NPI 1043863384

NPI Information

NPI: 1043863384
Provider Name: TEAM RECOVERY OHIO, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 36D2170685

Address:
4352 W SYLVANIA AVE
TOLEDO, OH
ZIP 43623
Phone: (419) 764-7201
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TEAM RECOVERY OHIO, LLC is a rehabilitation and substance use disorder clinic center in Toledo, OH. TEAM RECOVERY OHIO, LLC NPI is 1043863384. The provider is registered as an organization entity type.

The provider's business location address is:

4352 W SYLVANIA AVE
TOLEDO, OH
ZIP 43623-463
Phone: (419) 764-7201

The provider's authorized official is Matthew Bell .
The authorized official title is Ceo and has the following contact phone number (419) 764-7201.

The CLIA number assigned to this NPI record is 36D2170685 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2019 and was last updated on 11/12/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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

NPI Synchronization or Removal

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