INTERVAL BROTHERHOOD HOMES INC. NPI 1760576565

NPI Information

INTERVAL BROTHERHOOD HOMES, INC. is a substance abuse rehabilitation facility in Akron, 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. INTERVAL BROTHERHOOD HOMES, INC. NPI is 1760576565. The provider is registered as an organization entity type.
The provider Is Doing Business As Ibh Addiction Recovery.

The provider's business location address is:

3445 S MAIN ST
AKRON, OH
ZIP 44319-028
Phone: (330) 644-4095
Fax: (330) 645-2031

The provider's authorized official is Dean H. Sloane .
The authorized official title is Cfo and has the following contact phone number (330) 237-6878.

The CLIA number assigned to this NPI record is 36D0941418 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 6/24/2022.

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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