Individual
CHAD HUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2737 YOUNGSTOWN RD SE, WARREN, OH 44484-5002
(330) 369-8022
(330) 369-1595
Mailing address
2737 YOUNGSTOWN RD SE, WARREN, OH 44484-5002
(330) 369-8022
(330) 369-1595
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
164931
OH
324500000X
Substance Abuse Rehabilitation Facility
Primary
168419
OH
Other
Enumeration date
12/12/2017
Last updated
06/17/2019
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