| Impact Recovery Services | |
|
158 W Main St Andover OH 44003-9318 | |
| (216) 800-8700 | |
| Not Available |
| Full Name | Impact Recovery Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 158 W Main St, Andover, Ohio |
| Authorized Official Name and Position | Ian Elliott (SSO) |
| Authorized Official Contact | 4405631888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Recovery Services 158 W Main St Andover OH 44003-9318 Ph: (216) 800-8700 | Impact Recovery Services 158 W Main St Andover OH 44003-9318 Ph: (216) 800-8700 |
| NPI Number | 1982535357 |
|---|---|
| Provider Enumeration Date | 05/26/2026 |
| Last Update Date | 05/26/2026 |
| Certification Date | 05/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982535357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Impact Recovery Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 158 W Main St, Andover, OH 44003 Phone: 440-895-7356 |