Shaqualah Renee Johnson
NPI #1619582376 in Youngstown, Ohio
Provider Information
- NPI Number
- 1619582376
- Entity Type
- Individual
- Name
- Shaqualah Renee Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Sep 10, 2020
- Last Updated
- Sep 10, 2020
Practice Location
- Address
- 2151 RUSH BLVD
- City
- Youngstown
- State
- Ohio
- ZIP Code
- 44507-1535
- Phone
- (330) 744-1181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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