Revention Recovery Services, LLC
NPI #1871970566 in Centerville, Ohio
Provider Information
- NPI Number
- 1871970566
- Entity Type
- Organization
- Organization Name
- Revention Recovery Services, LLC
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- May 1, 2015
- Last Updated
- May 1, 2015
Practice Location
- Address
- 8002 MCEWEN RD
- City
- Centerville
- State
- Ohio
- ZIP Code
- 45458-2033
- Phone
- (937) 681-9507
Authorized Official
- Name
- CHARLES M MISJA, M.D.
- Title
- PRESIDENT
- Phone
- (937) 260-3156
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Clinical Neuropsychologist |
| Psychologist - Counseling — Counseling |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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