Organization
MEDAVI TREATMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BROWN (DIRECTOR OF COMPLIANCE)
(870) 243-7219
Entity
Organization
Contact information
Practice address
6629 W CENTRAL AVE STE A, TOLEDO, OH 43617-1098
(567) 268-4226
(567) 288-2087
Mailing address
10461 MILL RUN CIR STE 810, OWINGS MILLS, MD 21117-5549
(870) 243-7219
(870) 972-9950
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
03/11/2024
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