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Organization
MAHONING VALLEY RESOURCE INITIATIVE
Active
Organization
MAHONING VALLEY RESOURCE INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SHAFFER (CHIEF EXECUTIVE OFFICER)
(330) 565-4203
Entity
Organization
Contact information
Practice address
837 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4233
(330) 754-1610
Mailing address
230 CLINGAN RD, STRUTHERS, OH 44471-3104
(330) 565-4204
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
991495
OH
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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