# ADDICTION OUTREACH CLINIC LTD

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

## Provider details

- **NPI number:** 1356612261
- **Authorized official:** DR. NICHOLAS ANTHONY ATANASOFF D.O. (MEDICAL DIRECTOR)
- **Authorized official phone:** (330) 259-4849

## Contact information

- **Practice address:** 819 MCKAY CT STE 102, BOARDMAN, OH 44512-5771
- **Practice address phone:** (330) 259-4849
- **Practice address fax:** (330) 629-2847
- **Mailing address:** 755 BOARDMAN - CANFIELD ROAD, SUITE K-1, YOUNGSTOWN, OH 44512
- **Mailing address phone:** (330) 259-4849
- **Mailing address fax:** (330) 629-2847

## 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:** 01/24/2012
- **Last updated:** 11/07/2023