Individual provider · Type 1 NPI
Patrice L. Clark
Substance Abuse Rehabilitation Facility · Akron, OH
NPI number
1003328931
Active
Practice location
380 S Portage Path
Akron, OH 44320-2326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | None listed |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: 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.
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About NPI 1003328931
Patrice L. Clark's National Provider Identifier is 1003328931, issued on Nov 1, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Akron, OH. The record was last updated on Nov 1, 2017.