Organization
OAK RIDGE TREATMENT CENTER ACQ CORP
Active
Other names
Oak Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS JAGODITZ (CHIEF FINANCIAL OFFICER)
(317) 524-6360
Entity
Organization
Contact information
Practice address
115 PRIVATE ROAD 977 COUNTY ROAD 44 NORTH, PEDRO, OH 45659
(740) 534-1386
(740) 534-1497
Mailing address
PO BOX 26456, INDIANAPOLIS, IN 46226-0456
(317) 524-6360
(317) 544-4355
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
052001
OH
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
052002
OH
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
052003
OH
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
052004
OH
Other
Enumeration date
04/11/2006
Last updated
08/22/2020
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