Organization
MIDWEST RECOVERY CENTER LLC
Active
Parent organization
MIDWEST RECOVERY CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST RECOVERY CENTER, LLC
Authorized official
KIM BROWN (DIRECTOR OF COMPLIANCE)
(870) 243-7219
Entity
Organization
Contact information
Practice address
4747 MONROE ST, TOLEDO, OH 43623-4307
(866) 203-0308
Mailing address
10461 MILL RUN CIR STE 810, OWINGS MILLS, MD 21117-5549
(832) 240-3024
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0309004
—
OH
05
—
0326341
—
OH
Enumeration date
12/04/2018
Last updated
03/11/2024
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