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Organization

DOUBLE A ADDICTION AND RECOVERY SERVICES LLC

Active
Other names
Transitions
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LAWRENCE SMITH JR. LICDC-CS, LSW (PRESIDENT)
(440) 259-8253
Entity
Organization

Contact information

Practice address
4194 S RIDGE RD, PERRY, OH 44081-9648
(440) 259-8253
(440) 259-8254
Mailing address
PO BOX 1577, PAINESVILLE, OH 44077-7405
(440) 259-8253
(440) 259-8254

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
251S00000X
Community/Behavioral Health Agency
Primary
14035
OH

Other

Enumeration date
04/12/2013
Last updated
11/19/2016
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