Etv. LLC

NPI #1750783767 in Jefferson, Ohio

Provider Information

NPI Number: 1750783767
Entity Type: Organization
Organization Name: Etv. LLC
Primary Specialty: Substance Abuse Rehabilitation Facility
Enumeration Date: Sep 22, 2014
Last Updated: Sep 22, 2014

Practice Location

Address: 1484 STATE ROUTE 46 N STE 7
City: Jefferson
State: Ohio
ZIP Code: 44047-8147
Phone: (440) 624-4033

Authorized Official

Name: MITCH TROUT
Title: OWNER
Phone: (440) 624-4033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility	324500000X	Primary

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