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Brian Smith
Substance Abuse Rehabilitation Facility in Warren, Ohio
NPI 1942602404

Brian Smith is a Substance Abuse Rehabilitation Facility based in Warren, OH. Brian Smith practices in Warren, OH. The NPI Number for Brian Smith is 1942602404 and holds a License No. CDCA.140897 (Ohio).

The current practice location address for Brian Smith 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
1942602404
Provider Name
Brian Smith
Credential
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
09/16/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2374229 05 OH
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
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
140897 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
CDCA.140897 (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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