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Organization

PIKE COUNTY RECOVERY COUNCIL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VERONICA MICHELLE BLACK CDCA (DEPUTY DIRECTOR)
(740) 947-6727
Entity
Organization

Contact information

Practice address
14572 US HIGHWAY 23, WAVERLY, OH 45690-9373
(740) 947-6727
(740) 947-6917
Mailing address
P.O. BOX 226, WAVERLY, OH 45690-0226
(740) 947-6727
(740) 947-6917

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
527733
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
527733
STATE LICENSE NUMBER
OH
Enumeration date
05/25/2006
Last updated
07/30/2024
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