NEW DESTINY TREATMENT CENTER INC. NPI 1821411273

NPI Information

NPI: 1821411273
Provider Name: NEW DESTINY TREATMENT CENTER, INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
6694 TAYLOR RD
CLINTON, OH
ZIP 44216
Phone: (330) 825-5202
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NEW DESTINY TREATMENT CENTER, INC. is a substance abuse rehabilitation facility in Clinton, 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. NEW DESTINY TREATMENT CENTER, INC. NPI is 1821411273. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6694 TAYLOR RD
CLINTON, OH
ZIP 44216-201
Phone: (330) 825-5202
Fax: (330) 825-5113

The provider's authorized official is Robert W. Bolois .
The authorized official title is Ceo and has the following contact phone number (330) 825-5202.

The enumeration date for this NPI number is 1/21/2014 and was last updated on 12/27/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0401X	Family Medicine	Addiction Medicine	34.005720	OHIO	No
2	324500000X	Substance Abuse Rehabilitation Facility				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0249609	MEDICAID	OHIO

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

NPI Synchronization or Removal

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