Organization
KEYSTONE RICHLAND CENTER, LLC
Active
Other names
Foundations for Living AOD
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE REBANE (CEO)
(419) 589-5511
Entity
Organization
Contact information
Practice address
1451 LUCAS RD, MANSFIELD, OH 44903-8682
(419) 589-5511
(615) 250-1000
Mailing address
1451 LUCAS RD, MANSFIELD, OH 44903-8682
(419) 589-5511
(615) 250-1000
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
11-2079
OH
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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