SEACREST RECOVERY CENTER CINCINNATI LLC NPI 1427724475

NPI Information

SEACREST RECOVERY CENTER CINCINNATI, LLC is a substance abuse rehabilitation facility in Cincinnati, 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. SEACREST RECOVERY CENTER CINCINNATI, LLC NPI is 1427724475. The provider is registered as an organization entity type.

The provider's business location address is:

1 TRIANGLE PARK DR STE 100
CINCINNATI, OH
ZIP 45246-423
Phone: (561) 990-2620

The provider's authorized official is Jared Pruzan .
The authorized official title is Owner and has the following contact phone number (954) 415-3608.

The CLIA number assigned to this NPI record is 36D2251461 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2021 and was last updated on 8/19/2021.

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:

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