Organization
ON DEMAND OPIATE RECOVERY, LLC
Active
Parent organization
ON DEMAND SUBOXONE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ON DEMAND SUBOXONE, LLC
Authorized official
TOM IVANY (CEO/OWNER)
(330) 270-3660
Entity
Organization
Contact information
Practice address
102 WESTCHESTER DR, AUSTINTOWN, OH 44515-3963
(330) 270-3660
Mailing address
102 WESTCHESTER DR, AUSTINTOWN, OH 44515-3963
(330) 270-3660
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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