Organization Name: | CLERMONT RECOVERY CENTER, INC. |
NPI Number: | 1366458465 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN M GOLDSBERRY (PRESIDENT/CEO) |
Mailing Address: | 1074 Wasserman Way Batavia |
State: | OH US |
Postal Code: | 451031911 |
Phone Number: | 5137355510 |
Fax Number: | 5137358157 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |