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Organization
SPAULDNG ADDICTION SERVICES
Active
Organization
SPAULDNG ADDICTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA GREENWALD (BILLING SPECIALIST)
(740) 771-6387
Entity
Organization
Contact information
Practice address
2157 FIRSTENBERGER RD, MARION, OH 43302-8792
(419) 222-5077
(740) 205-8593
Mailing address
1037 W MARKET ST, LIMA, OH 45805-2729
(740) 360-7811
(740) 383-6559
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000314
—
OH
05
—
0267505
—
OH
Enumeration date
10/07/2022
Last updated
07/11/2023
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