Organization
RIDA RECOVERY HEALTH CENTER LLC
Active
Other names
RIDA PRIMARY AND BEHAVIORAL HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ARREY I EYONGHEROK NURSE PRACTITIONER (CEO)
(937) 329-7978
Entity
Organization
Contact information
Practice address
2773 ORCHARD RUN ROAD, WEST CARROLLTON, OH 45449
(937) 329-7978
Mailing address
3067 CHAMBERLIN DR, DAYTON, OH 45449-3742
(937) 329-7978
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/29/2024
Last updated
11/13/2024
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