Ohio Opiate Recovery

NPI #1811543671 in Mansfield, Ohio

Provider Information

NPI Number: 1811543671
Entity Type: Organization
Organization Name: Ohio Opiate Recovery
Primary Specialty: General Practice
Enumeration Date: Aug 16, 2019
Last Updated: Aug 16, 2019

Practice Location

Address: 380 CLINE AVE STE 1
City: Mansfield
State: Ohio
ZIP Code: 44907-1056
Phone: (419) 571-5290

Authorized Official

Name: STACEY RENEE WOLFE
Title: OFFICE MANAGER
Phone: (419) 571-5290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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