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Organization

MILTON JEFFERSON LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE CORELLA (EXECUTIVE DIRECTOR)
(740) 632-2752
Entity
Organization

Contact information

Practice address
1852 SINCLAIR AVE, STEUBENVILLE, OH 43953-3328
(740) 632-2752
Mailing address
1852 SINCLAIR AVE, STEUBENVILLE, OH 43953-3328

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0129776
OH
Enumeration date
03/27/2025
Last updated
10/17/2025
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