Organization
WINGS OF HOPE RECOVERY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXINE MALONE CDCA (DIRECTOR)
(740) 727-4801
Entity
Organization
Contact information
Practice address
2313 17TH ST, PORTSMOUTH, OH 45662-3223
(740) 727-4801
Mailing address
PO BOX 287, LEWIS CENTER, OH 43035-0287
(614) 289-8844
(614) 682-6901
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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