Organization
DECOACH TEAM LLC
Active
Other names
DeCoach Rehabilitation Centre
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BARROWS (PRESIDENT)
(513) 818-5146
Entity
Organization
Contact information
Practice address
100 CROWNE POINT PL, CINCINNATI, OH 45241-5427
(513) 743-7628
(513) 737-1107
Mailing address
100 CROWNE POINT PL, CINCINNATI, OH 45241-5427
(513) 743-7628
(513) 737-1107
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
OH
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/04/2016
Last updated
12/16/2024
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