Organization
MIDWEST DETOX CENTER LLC
Active
Parent organization
MIDWEST DETOX CENTER LLC
Other names
Ohio Detox Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST DETOX CENTER LLC
Authorized official
KIM BROWN (DIRECTOR OF COMPLIANCE)
(870) 243-7219
Entity
Organization
Contact information
Practice address
1757 INDIAN WOOD CIR, MAUMEE, OH 43537-4009
(866) 806-0308
Mailing address
10461 MILL RUN CIR STE 810, OWINGS MILLS, MD 21117-5549
(855) 686-6641
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
01-7617
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0281740
—
OH
Enumeration date
05/04/2018
Last updated
01/12/2024
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