| Positive Change Recovery Services, Llc | |
|
310 Morton St Jackson OH 45640-1028 | |
| (740) 645-2019 | |
| Not Available |
| Full Name | Positive Change Recovery Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 310 Morton St, Jackson, Ohio |
| Authorized Official Name and Position | Lori Ellis (ADMINISTRATOR) |
| Authorized Official Contact | 7406457549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Change Recovery Services, Llc 310 Morton St Jackson OH 45640-1028 Ph: () - | Positive Change Recovery Services, Llc 310 Morton St Jackson OH 45640-1028 Ph: (740) 645-2019 |
| NPI Number | 1770321499 |
|---|---|
| Provider Enumeration Date | 07/17/2024 |
| Last Update Date | 05/05/2026 |
| Certification Date | 05/05/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770321499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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