Organization
POSITIVE CHANGE RECOVERY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ELLIS (ADMINISTRATOR)
(740) 645-7549
Entity
Organization
Contact information
Practice address
310 MORTON ST, JACKSON, OH 45640-1028
(740) 645-2019
Mailing address
310 MORTON ST, JACKSON, OH 45640-1028
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/17/2024
Last updated
05/05/2026
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