Doctor Name: | RONNA ANNE LISTON |
NPI Number: | 1659728079 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN177205 |
Business Practice Address: | 2151 Rush Blvd Youngstown, OH - 445071535 |
Business Phone Number: | 3307441181 |
Business Fax Number: | 3307402849 |
Mailing Address: | 2151 Rush Blvd, YOUNGSTOWN |
State: | OH |
Postal Code: | 445071535 |
Phone Number: | 3307441181 |
Fax Number: | 3307402849 |
NPI Enumeration Date: | 05/16/2016 |
NPI Last Update Date: | 05/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | RN177205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |