Individual
THOMAS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
2737 YOUNGSTOWN WARREN RD SE, WARRREN, OH 44483
(330) 369-8022
Mailing address
2737 YOUNGSTOWN WARREN RD SE, WARRREN, OH 44483
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
OH
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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