Ohio Valley Teen Challenge INC
NPI #1790278661 in Youngstown, Ohio
Provider Information
- NPI Number
- 1790278661
- Entity Type
- Organization
- Organization Name
- Ohio Valley Teen Challenge INC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jun 14, 2018
- Last Updated
- Jun 14, 2018
Practice Location
- Address
- 100 BROADWAY AVE
- City
- Youngstown
- State
- Ohio
- ZIP Code
- 44505-2789
- Phone
- (330) 743-9030
Authorized Official
- Name
- CAROL CLEMENTE WAGNER
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (330) 743-9030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Substance Abuse Rehabilitation Facility |
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