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Organization

MIAMI VALLEY RECOVERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM THOMAS CHRISOVERGIS (PRESIDENT)
(614) 307-6894
Entity
Organization

Contact information

Practice address
1 ELIZABETH PL, SUITE NWB40, DAYTON, OH 45417-3445
(937) 401-8672
(937) 853-8029
Mailing address
1 ELIZABETH PL, SUITE NWB40, DAYTON, OH 45417-3445

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OH

Other

Enumeration date
09/07/2017
Last updated
12/09/2019
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