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EXCLUSIVE SERVICES NPI 1700157591


NPI Information

NPI: 1700157591
Provider Name: EXCLUSIVE SERVICES
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 36D2080437

Address:
11134 LUSCHEK DR
BLUE ASH, OH
ZIP 45241
Phone: (513) 827-9273
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EXCLUSIVE SERVICES is a substance abuse rehabilitation facility in Blue Ash, 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. EXCLUSIVE SERVICES NPI is 1700157591. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11134 LUSCHEK DR
BLUE ASH, OH
ZIP 45241-434
Phone: (513) 827-9273
Fax: (513) 818-9960

The provider's authorized official is Tracy Renee Rawls .
The authorized official title is President/ceo and has the following contact phone number (513) 827-9273.

The CLIA number assigned to this NPI record is 36D2080437 - other - integrated healthcare with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2012 and was last updated on 2/1/2024.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM2800XClinic/CenterMethadoneNo
4324500000XSubstance Abuse Rehabilitation FacilityYes

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: 5/5/2024

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