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Thomas Clark, CDCA
Substance Abuse Rehabilitation Facility in Warrren, Ohio
NPI 1457891715

Thomas Clark is a Substance Abuse Rehabilitation Facility based in Warrren, OH. Thomas Clark practices in Warrren, OH and has the professional credentials of CDCA. The NPI Number for Thomas Clark is 1457891715 and holds a License No. (Ohio).

The current practice location address for Thomas Clark is 2737 Youngstown Warren Rd Se, Warrren, OH and can be reached out via phone at 330-369-8022.

Location: 2737 Youngstown Warren Rd Se, Warrren, OH, 44483
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457891715
Provider Name
Thomas Clark
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
2737 Youngstown Warren Rd Se, Warrren, OH, 44483
Phone Number
330-369-8022
Fax Number
Provider Enumeration Date
03/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2737 Youngstown Warren Rd Se
City
Warrren
State
Ohio
Zip
44483
Phone Number
330-369-8022
Fax Number
person
Provider Business Mailing Address Details
Address
2737 Youngstown Warren Rd Se
City
Warrren
State
Ohio
Zip
44483
Phone Number
330-369-8022
Fax Number
person
Provider's Taxonomy Details 1
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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