Organization
THREE WATERS RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELINDA M ADAMS MA. (OWNER/ DIRECTOR)
(513) 967-1460
Entity
Organization
Contact information
Practice address
218 STERN RD, SEAMAN, OH 45679-9607
(513) 967-1460
(513) 456-2855
Mailing address
6722 STATE ROUTE 132 STE A, GOSHEN, OH 45122-9346
(513) 575-7879
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0244638
—
OH
Enumeration date
02/20/2017
Last updated
04/04/2022
Update your record
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