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Organization

ETV. LLC

Active
Other names
Independent Solutions
Organization subpart
No

Provider details

NPI number
Authorized official
MITCH TROUT (OWNER)
(440) 624-4033
Entity
Organization

Contact information

Practice address
1484 STATE ROUTE 46 N STE 7, JEFFERSON, OH 44047-8147
(440) 624-4033
Mailing address
1484 STATE ROUTE 46 N STE 7, JEFFERSON, OH 44047-8147
(440) 624-4033

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
13184
OH

Other

Enumeration date
09/22/2014
Last updated
09/22/2014
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