# ADDICTION CAMPUSES PROFESSIONAL SERVICES OF OHIO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255950739
- **Authorized official:** LEIGH ANN THOMPSON (SENIOR DIRECTOR)
- **Authorized official phone:** (615) 921-4447

## Contact information

- **Practice address:** 2650 LODGE RD SW, SHERRODSVILLE, OH 44675-9718
- **Practice address phone:** (330) 866-0916
- **Practice address fax:** (330) 556-4023
- **Mailing address:** 205 REIDHURST AVE, NASHVILLE, TN 37203-1618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/14/2020
- **Last updated:** 08/17/2020