| Red Zone Youngstown Llc | |
|
1319 Florencedale Ave Youngstown OH 44505 | |
| (330) 787-9180 | |
| Not Available |
| Full Name | Red Zone Youngstown Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1319 Florencedale Ave, Youngstown, Ohio |
| Authorized Official Name and Position | Corinne Milentijevic (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3307879180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Zone Youngstown Llc 1319 Florencedale Ave Youngstown OH 44505-2719 Ph: (330) 787-9180 | Red Zone Youngstown Llc 1319 Florencedale Ave Youngstown OH 44505 Ph: (330) 787-9180 |
| NPI Number | 1184169070 |
|---|---|
| Provider Enumeration Date | 12/30/2016 |
| Last Update Date | 12/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184169070 | NPI | - | NPPES |
| 181138444 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Ohio) | Primary |
| 251B00000X | Case Management | (Ohio) | Secondary |
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