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NEW DESTINY TREATMENT CENTER INC. NPI 1376161091


NPI Information

NPI: 1376161091
Provider Name: NEW DESTINY TREATMENT CENTER, INC.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 36D0959949

Address:
6694 TAYLOR RD
CLINTON, OH
ZIP 44216
Phone: (330) 825-5202
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NEW DESTINY TREATMENT CENTER, INC. is an adult mental health clinic center in Clinton, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. NEW DESTINY TREATMENT CENTER, INC. NPI is 1376161091. The provider is registered as an organization entity type.

The provider's business location address is:

6694 TAYLOR RD
CLINTON, OH
ZIP 44216-201
Phone: (330) 825-5202
Fax: (330) 825-5113

The provider's authorized official is Robert W. Bolois .
The authorized official title is Ceo and has the following contact phone number (330) 825-5202.

The CLIA number assigned to this NPI record is 36D0959949 - other - drug and alcohol trtmt ct with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2020 and was last updated on 1/30/2023.


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
1261QM0850XClinic/CenterAdult Mental HealthYes

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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