Organization
NEW DESTINY TREATMENT CENTER MENTAL HEALTH AND SPECIAL SERVICES LLC
Active
Parent organization
NEW DESTINY TREATMENT CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW DESTINY TREATMENT CENTER, INC.
Authorized official
DR. ROBERT W. BOLOIS PH.D. (CEO)
(330) 825-5202
Entity
Organization
Contact information
Practice address
6694 TAYLOR RD, CLINTON, OH 44216-9201
(330) 825-5202
(330) 825-5113
Mailing address
6694 TAYLOR RD, CLINTON, OH 44216-9201
(330) 825-5202
(330) 825-5113
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0425321
—
OH
Enumeration date
01/30/2023
Last updated
01/30/2023
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