| Summit Recovery Llc | |
| 
					549 E Front St Logan OH 43138-1717  | |
| (740) 279-9998 | |
| Not Available | 
| Full Name | Summit Recovery Llc | 
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) | 
| Location | 549 E Front St, Logan, Ohio | 
| Authorized Official Name and Position | Ashley Bookwalter (OWNER/CEO) | 
| Authorized Official Contact | 7402799998 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Summit Recovery Llc 283 W Hunter St Logan OH 43138-1515 Ph: (740) 279-9998  | Summit Recovery Llc 549 E Front St Logan OH 43138-1717 Ph: (740) 279-9998  | 
| NPI Number | 1386236263 | 
|---|---|
| Provider Enumeration Date | 02/11/2021 | 
| Last Update Date | 02/11/2021 | 
| Certification Date | 02/11/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1386236263 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary | 
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