Organization
MIAMI COUNTY RECOVERY COUNCIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOM GRIM MS, LICDC (DIRECTOR)
(937) 335-4543
Entity
Organization
Contact information
Practice address
1059 N MARKET ST, TROY, OH 45373-1433
(937) 335-4543
(937) 339-8371
Mailing address
1059 N MARKET ST, TROY, OH 45373-1433
(937) 335-4543
(937) 339-8371
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0686
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2901051
—
OH
Enumeration date
05/11/2012
Last updated
05/11/2012
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