# OAK RIDGE TREATMENT CENTER ACQ CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oak Ridge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184687030
- **Authorized official:** CHRIS JAGODITZ (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (317) 524-6360

## Contact information

- **Practice address:** 115 PRIVATE ROAD 977 COUNTY ROAD 44 NORTH, PEDRO, OH 45659
- **Practice address phone:** (740) 534-1386
- **Practice address fax:** (740) 534-1497
- **Mailing address:** PO BOX 26456, INDIANAPOLIS, IN 46226-0456
- **Mailing address phone:** (317) 524-6360
- **Mailing address fax:** (317) 544-4355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 052001 | OH | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 052002 | OH | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 052003 | OH | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 052004 | OH | — |

## Other

- **Enumeration date:** 04/11/2006
- **Last updated:** 08/22/2020