Organization
MIDWEST DETOX CENTER LLC
Active
Other names
Ohio Detox Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BROWN (DIRECTOR OF COMPLIANCE)
(870) 243-7219
Entity
Organization
Contact information
Practice address
1757 INDIAN WOOD CIR STE A, MAUMEE, OH 43537-4009
(866) 203-0308
Mailing address
10461 MILL RUN CIR STE 801, OWINGS MILLS, MD 21117-5544
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0281740
—
OH
Enumeration date
07/03/2017
Last updated
01/12/2024
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