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Decoach Team Llc
Substance Abuse Rehabilitation Facility in Cincinnati, Ohio
NPI 1366992224

Decoach Team Llc is a Substance Abuse Rehabilitation Facility based in Cincinnati, OH. Decoach Team Llc practices in Cincinnati, OH. The NPI Number for Decoach Team Llc is 1366992224 and holds a License No. (Ohio).

The current practice location address for Decoach Team Llc is 100 Crowne Point Pl, Cincinnati, OH and can be reached out via phone at 513-743-7628 and via fax at 513-737-1107.

Location: 100 Crowne Point Pl, Cincinnati, OH, 45241-5427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366992224
Provider Name
Decoach Team Llc
Credential
Provider Entity Type
Organization
Address
100 Crowne Point Pl, Cincinnati, OH, 45241-5427
Phone Number
513-743-7628
Fax Number
513-737-1107
Provider Enumeration Date
10/04/2016
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
100 Crowne Point Pl
City
Cincinnati
State
Ohio
Zip
45241-5427
Phone Number
513-743-7628
Fax Number
513-737-1107
person
Provider Business Mailing Address Details
Address
100 Crowne Point Pl
City
Cincinnati
State
Ohio
Zip
45241-5427
Phone Number
513-743-7628
Fax Number
513-737-1107
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
(Ohio)
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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