| Double A Addiction And Recovery Services Llc | |
|
4194 S Ridge Rd Perry OH 44081-9648 | |
| (440) 259-8253 | |
| (440) 259-8254 |
| Full Name | Double A Addiction And Recovery Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4194 S Ridge Rd, Perry, Ohio |
| Authorized Official Name and Position | Lawrence Smith (PRESIDENT) |
| Authorized Official Contact | 4402598253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Double A Addiction And Recovery Services Llc Po Box 1577 Painesville OH 44077-7405 Ph: (440) 259-8253 | Double A Addiction And Recovery Services Llc 4194 S Ridge Rd Perry OH 44081-9648 Ph: (440) 259-8253 |
| NPI Number | 1700229465 |
|---|---|
| Provider Enumeration Date | 04/12/2013 |
| Last Update Date | 11/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700229465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | 14035 (Ohio) | Primary |
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