PINNACLE TREATMENT CENTERS OH-XIX LLC NPI 1659024107

NPI Information

PINNACLE TREATMENT CENTERS OH-XIX, LLC is a methadone clinic center in Painesville, 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-XIX, LLC NPI is 1659024107. The provider is registered as an organization entity type.

The provider's business location address is:

1544 MENTOR AVE
PAINESVILLE, OH
ZIP 44077-705
Phone: (440) 210-9529
Fax: (440) 551-9820

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

The CLIA number assigned to this NPI record is 36D2238364 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/3/2022 and was last updated on 2/3/2022.

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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