| Iris K Bradley | |
|
12 W Wenger Rd Englewood OH 45322-2754 | |
| (254) 226-0228 | |
| Not Available |
| Full Name | Iris K Bradley |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 12 W Wenger Rd, Englewood, Ohio |
| Authorized Official Name and Position | Iris K Bradley (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2542260228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iris K Bradley 7100 Salem Crossing Pl Englewood OH 45322-2568 Ph: (254) 226-0228 | Iris K Bradley 12 W Wenger Rd Englewood OH 45322-2754 Ph: (254) 226-0228 |
| NPI Number | 1689352833 |
|---|---|
| Provider Enumeration Date | 07/07/2023 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689352833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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