Willard Detox of Ohio LLC

NPI #1285474650 in Willard, Ohio

Provider Information

NPI Number
1285474650
Entity Type
Organization
Organization Name
Willard Detox of Ohio LLC
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
May 31, 2024
Last Updated
May 31, 2024

Practice Location

Address
725 WESSOR AVE
State
Ohio
ZIP Code
44890-9417
Phone
(954) 415-3608

Authorized Official

Name
JESSIE COSTLEY
Title
CREDENTIALING MANAGER
Phone
(443) 839-6928

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder
Substance Abuse Rehabilitation Facility

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