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Philip Lydick, CDCA
Substance Abuse Rehabilitation Facility in Warren, Ohio
NPI 1750887246

Philip Lydick is a Substance Abuse Rehabilitation Facility based in Warren, OH. Philip Lydick practices in Warren, OH and has the professional credentials of CDCA. The NPI Number for Philip Lydick is 1750887246 and holds a License No. 166480 (Ohio).

The current practice location address for Philip Lydick is 4930 Enterprise Dr Nw, Warren, OH and can be reached out via phone at 330-787-0955.

Location: 4930 Enterprise Dr Nw, Warren, OH, 44481-8706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750887246
Provider Name
Philip Lydick
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
4930 Enterprise Dr Nw, Warren, OH, 44481-8706
Phone Number
330-787-0955
Fax Number
Provider Enumeration Date
04/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4930 Enterprise Dr Nw
City
Warren
State
Ohio
Zip
44481-8706
Phone Number
330-787-0955
Fax Number
person
Provider Business Mailing Address Details
Address
4930 Enterprise Dr Nw
City
Warren
State
Ohio
Zip
44481-8706
Phone Number
330-787-0955
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
166480 (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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