Organization
SOUTHERN OHIO PREMIER RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FAITH ANN BIVENS (OWNER)
(740) 981-6987
Entity
Organization
Contact information
Practice address
6431 STATE ROUTE 104, MCDERMOTT, OH 45652-8943
(740) 981-6987
Mailing address
6587 STATE ROUTE 104, MC DERMOTT, OH 45652-8943
(740) 981-6987
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
03/05/2024
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