Organization
PINNACLE TREATMENT CENTERS OH-XII, LLC
Active
Other names
Sandusky Treatment Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN TANIS (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
(856) 533-8762
Entity
Organization
Contact information
Practice address
1036 CLEVELAND RD, SANDUSKY, OH 44870-4034
(419) 504-0068
Mailing address
1317 ROUTE 73 STE 200, MOUNT LAUREL, NJ 08054-2202
(856) 439-6111
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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