Organization
CARDINAL RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI A ELLIS (CLINICAL DIRECTOR/SUPERVISOR)
(740) 441-7954
Entity
Organization
Contact information
Practice address
1134 JACKSON PIKE, GALLIPOLIS, OH 45631-2600
(740) 441-7954
Mailing address
1134 JACKSON PIKE, GALLIPOLIS, OH 45631-2600
(740) 441-7954
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
981153-CS
OH
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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