Organization
BRYANS TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA NICKOLE DENNIS CDCA, RA (CEO)
(419) 450-8273
Entity
Organization
Contact information
Practice address
6648 SOUTH AVE, HOLLAND, OH 43528
14194508273
Mailing address
6648 SOUTH AVE, HOLLAND, OH 43528-9507
14194508273
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251B00000X
Case Management Agency
201726803838
OH
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
201726803838
OH
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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