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Organization
TRINITY RECOVERY LP
Active
Organization
TRINITY RECOVERY LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER MOURTACOS DO (CO-OWNER/PHYSICIAN)
(330) 619-5250
Entity
Organization
Contact information
Practice address
7128 WARREN SHARON RD, BROOKFIELD, OH 44403-9657
(330) 619-5250
(330) 619-5251
Mailing address
7128 WARREN SHARON RD, BROOKFIELD, OH 44403-9657
(330) 619-5250
(330) 619-5251
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
NULL
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
04/22/2019
Last updated
09/06/2023
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