Organization Name: | ADAGIO HEALTH INC. |
NPI Number: | 1336233436 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORA WOOD (CHIEF OPERATING OFFICER) |
Mailing Address: | 255 Grove City Rd Slippery Rock |
State: | PA US |
Postal Code: | 160578525 |
Phone Number: | 7247948226 |
Fax Number: | 7247942060 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 08/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |