Individual
SUSAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN.181343
Contact information
Practice address
2151 RUSH BLVD, YOUNGSTOWN, OH 44507-1535
(330) 744-1181
Mailing address
2151 RUSH BLVD, YOUNGSTOWN, OH 44507-1535
(330) 744-1181
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
RN.181343
OH
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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