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BROADWAY RECOVERY SERVICES INC. NPI 1861017683


NPI Information

NPI: 1861017683
Provider Name: BROADWAY RECOVERY SERVICES, INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 36D2230285

Address:
725 BOARDMAN CANFIELD RD STE C4
BOARDMAN, OH
ZIP 44512
Phone: (330) 716-0326
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BROADWAY RECOVERY SERVICES, INC. is a substance abuse rehabilitation facility in Boardman, 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. BROADWAY RECOVERY SERVICES, INC. NPI is 1861017683. The provider is registered as an organization entity type.

The provider's business location address is:

725 BOARDMAN CANFIELD RD STE C4
BOARDMAN, OH
ZIP 44512-367
Phone: (330) 716-0326

The provider's authorized official is Adam Lonardo .
The authorized official title is Executive Director and has the following contact phone number (330) 716-0326.

The CLIA number assigned to this NPI record is 36D2230285 - other - recovery services with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2020 and was last updated on 10/5/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance 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: 4/28/2024

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