Organization
PINNACLE TREATMENT CENTERS OH-XIX, LLC
Active
Other names
Painesville Treatment Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN TANIS (EXECUTIVE DIRECTOR OF CONTRACT MANA)
(856) 533-8762
Entity
Organization
Contact information
Practice address
1544 MENTOR AVE, PAINESVILLE, OH 44077-1705
(440) 210-9529
(440) 551-9820
Mailing address
1317 ROUTE 73, MOUNT LAUREL, NJ 08054-2202
(856) 439-6111
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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