Organization
UMADAOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH E STYLES (CEO)
(937) 276-2876
Entity
Organization
Contact information
Practice address
1 ELIZABETH PL, 4 WEST PAVILLION SUITE 400, DAYTON, OH 45417-3445
(937) 276-2176
Mailing address
4 WEST PAVILLION, STE 400, DAYTON, OH 45417-5417
(937) 276-2176
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1043
OH
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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