Organization
PNP RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A HANDEGARD (AUTHORIZED OFFICIAL)
(983) 352-6490
Entity
Organization
Contact information
Practice address
215 S ALLISON AVE, XENIA, OH 45385-3694
(937) 352-6490
(937) 888-4008
Mailing address
215 S ALLISON AVE, XENIA, OH 45385-3694
(937) 352-6490
(937) 888-4008
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
12/02/2025
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