Organization
RECOVERY SERVICES NWO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH BOND (EXECUTIVE DIRECTOR)
(419) 782-9920
Entity
Organization
Contact information
Practice address
511 PERRY ST, DEFIANCE, OH 43512-2123
(419) 782-9920
(419) 784-2523
Mailing address
511 PERRY ST, DEFIANCE, OH 43512-2123
(419) 782-9920
(419) 784-2523
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2864593
—
OH
Enumeration date
05/11/2012
Last updated
05/11/2012
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