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COMMUNITY ORIENTED RECOVERY NPI 1639727936


NPI Information

NPI: 1639727936
Provider Name: COMMUNITY ORIENTED RECOVERY
Classification: Peer Specialist - 175T00000X
Entity Type: Organization
Address:
526 CANTON RD STE 201
AKRON, OH
ZIP 44312
Phone: (330) 354-8684
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COMMUNITY ORIENTED RECOVERY is a peer specialist in Akron, OH. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. COMMUNITY ORIENTED RECOVERY NPI is 1639727936. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

526 CANTON RD STE 201
AKRON, OH
ZIP 44312-527
Phone: (330) 354-8684

The provider's authorized official is Cory D Eastgate .
The authorized official title is Co-founder and has the following contact phone number (330) 815-1551.

The enumeration date for this NPI number is 8/29/2019 and was last updated on 6/2/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3175T00000XPeer SpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101-7778OTHEROHIOOHIO MENTAL HEALTH AND ADDICTION SERVICES (OMHAS)

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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