Third Street Community Clinic, INC

NPI #1265209902 in Marion, Ohio

Provider Information

NPI Number: 1265209902
Entity Type: Organization
Organization Name: Third Street Community Clinic, INC
Primary Specialty: Substance Abuse Rehabilitation Facility
Enumeration Date: Dec 4, 2023
Last Updated: Oct 29, 2024

Practice Location

Address: 320 EXECUTIVE DR
City: Marion
State: Ohio
ZIP Code: 43302-6310
Phone: (740) 383-1351

Authorized Official

Name: PEGGY ANDERSON
Title: CEO
Phone: (419) 526-7880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Substance Abuse Rehabilitation Facility	324500000X	Primary

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