person
Nicholas Wade, CDCA
Peer Specialist in Austintown, Ohio
NPI 1588104012

Nicholas Wade is a Peer Specialist based in Austintown, OH. Nicholas Wade practices in Austintown, OH and has the professional credentials of CDCA. The NPI Number for Nicholas Wade is 1588104012 and holds a License No. (Ohio).

The current practice location address for Nicholas Wade is 5760 Patriot Blvd, Austintown, OH and can be reached out via phone at 330-953-0243.

Location: 5760 Patriot Blvd, Austintown, OH, 44515-1170
person
Provider Profile Details
NPI Number
1588104012
Provider Name
Nicholas Wade
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
5760 Patriot Blvd, Austintown, OH, 44515-1170
Phone Number
330-953-0243
Fax Number
Provider Enumeration Date
03/02/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5760 Patriot Blvd
City
State
Zip
44515-1170
Phone Number
330-953-0243
Fax Number
person
Provider Business Mailing Address Details
Address
5760 Patriot Blvd
City
State
Zip
44515-1170
Phone Number
330-953-0243
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
0001998 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
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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