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Organization
POTTER HOUSE RECOVERY LLC
Active
Organization
POTTER HOUSE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ALLEN DAY CDCA (CEO)
(513) 435-0379
Entity
Organization
Contact information
Practice address
4900 GLENWAY AVE, CINCINNATI, OH 45238-3916
(513) 435-0379
Mailing address
5912 BRIDGEVIEW CT, CINCINNATI, OH 45248-4009
(513) 300-6483
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013807726
—
OH
Enumeration date
06/14/2022
Last updated
07/07/2025
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