New Destiny Treatment Center Mental Health and Special Services LLC

NPI #1255047494 in Clinton, Ohio

Provider Information

NPI Number: 1255047494
Entity Type: Organization
Organization Name: New Destiny Treatment Center Mental Health and Special Services LLC
Subpart: Yes (part of a larger organization)
Parent Organization: NEW DESTINY TREATMENT CENTER, INC.
Primary Specialty: Clinic/Center - Adult Mental Health
Enumeration Date: Jan 30, 2023
Last Updated: Jan 30, 2023

Practice Location

Address: 6694 TAYLOR RD
City: Clinton
State: Ohio
ZIP Code: 44216-9201
Phone: (330) 825-5202

Authorized Official

Name: DR. ROBERT W. BOLOIS, PH.D.
Title: CEO
Phone: (330) 825-5202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X	Primary

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