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Southern Ohio Premier Recovery, Llc
Substance Abuse Rehabilitation Facility in Mcdermott, Ohio
NPI 1235803115

Southern Ohio Premier Recovery, Llc is a Substance Abuse Rehabilitation Facility based in Mc Dermott, OH. Southern Ohio Premier Recovery, Llc practices in Mcdermott, OH. The NPI Number for Southern Ohio Premier Recovery, Llc is 1235803115 and holds a License No. (Ohio).

The current practice location address for Southern Ohio Premier Recovery, Llc is 6431 State Route 104, Mcdermott, OH and can be reached out via phone at 740-981-6987.

Location: 6431 State Route 104, Mcdermott, OH, 45652-8943
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235803115
Provider Name
Southern Ohio Premier Recovery, Llc
Credential
Provider Entity Type
Organization
Address
6431 State Route 104, Mcdermott, OH, 45652-8943
Phone Number
740-981-6987
Fax Number
Provider Enumeration Date
08/04/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6431 State Route 104
City
Mcdermott
State
Ohio
Zip
45652-8943
Phone Number
740-981-6987
Fax Number
person
Provider Business Mailing Address Details
Address
6431 State Route 104
City
Mcdermott
State
Ohio
Zip
45652-8943
Phone Number
740-981-6987
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Taxonomy
261QR0401X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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