Keystone Richland Center, LLC

NPI #1750648424 in Mansfield, Ohio

Provider Information

NPI Number: 1750648424
Entity Type: Organization
Organization Name: Keystone Richland Center, LLC
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Apr 18, 2012
Last Updated: Apr 18, 2012

Practice Location

Address: 1451 LUCAS RD
City: Mansfield
State: Ohio
ZIP Code: 44903-8682
Phone: (419) 589-5511

Authorized Official

Name: CONNIE REBANE
Title: CEO
Phone: (419) 589-5511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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