Taxonomy Code 3245S0500X(3245s0500x)
Children's Substance Abuse Rehabilitation Facility. Providers: 16

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Children's Substance Abuse Rehabilitation Facility Providers

NPI Name Type Address

1447761580

MR. BS, CDCA, QMHS Ryan Nicholas Gray

Individual

2775 State Route 39

Shelby, OH

1396241576

MR. CDCA Bradford Russell Noland

Individual

2775 State Route 39

Shelby, OH

1750887931

CDCA Dustin James Pridemore

Individual

2775 State Route 39

Shelby, OH

1932606076

CDCA Christopher Douglass Bradford I

Individual

2775 State Route 39

Shelby, OH

1831696970

CDCA Gerald Polk

Individual

2775 State Route 39

Shelby, OH

1659878791

CDCA Jay Jason Summers

Individual

2775 State Route 39

Shelby, OH

1568969608

CDCA Mitchell Hall

Individual

2775 State Route 39

Shelby, OH

1285131268

CDCA Preston Scott Horsley

Individual

2775 State Route 39

Shelby, OH

1780181776

CDCA Robert Newhon

Individual

2775 State Route 39

Shelby, OH

1316444300

CDCA Jeremy Bowman

Individual

2775 State Route 39

Shelby, OH

1891292520

CDCA Devon R Garrett

Individual

2775 State Route 39

Shelby, OH

1245737444

CDCA Matthew J Porter

Individual

2775 State Route 39

Shelby, OH

1518457639

CDCA Bryan K Hall

Individual

2775 State Route 39

Shelby, OH

1053852939

MSW, LISW, LCDCIII Heather Hiroki

Individual

2775 State Route 39

Shelby, OH

1376518902

Cornell Abraxas Group, Llc

Organization

2775 State Route 39

Shelby, OH

1134385669

Cornell Abraxas Group, Llc

Organization

2775 State Route 39

Shelby, OH

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 3245S0500X
Specialization Substance Abuse Treatment, Children
Display Name Children's Substance Abuse Rehabilitation Facility
Taxonomy Group Residential Treatment Facilities
Taxonomy Classification Substance Abuse Rehabilitation Facility
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Effective Date September 30, 2009
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Substance Abuse Rehabilitation Facility Codes

Substance Abuse Rehabilitation Facility

324500000X • providers: 8,329