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Organization
ADDICTION OUTREACH CLINIC LTD
Active
Organization
ADDICTION OUTREACH CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS ANTHONY ATANASOFF D.O. (MEDICAL DIRECTOR)
(330) 259-4849
Entity
Organization
Contact information
Practice address
819 MCKAY CT STE 102, BOARDMAN, OH 44512-5771
(330) 259-4849
(330) 629-2847
Mailing address
755 BOARDMAN - CANFIELD ROAD, SUITE K-1, YOUNGSTOWN, OH 44512
(330) 259-4849
(330) 629-2847
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
01/24/2012
Last updated
11/07/2023
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