Organization
MIDDLETOWN HOSLITIC OUTREACH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS VARONICA FREEMAN (OWRNER)
(513) 260-9643
Entity
Organization
Contact information
Practice address
1217 MICHIGAN AVE, MIDDLETOWN, OH 45044-5829
(513) 260-9643
Mailing address
1217 MICHIGAN AVE, MIDDLETOWN, OH 45044-5829
(513) 260-9643
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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