Organization · Type 2 NPI
Oxyclean Ambulatory Opiate Detox Centers LLC
Addiction Medicine (Family Medicine) Physician · Waynesville, OH
NPI number
1033624812
Active
Practice location
415 S Main St
Waynesville, OH 45068-9553
Mailing address
3195 Dayton Xenia Rd # 900-162
Beavercreek, OH 45434-6390
Other practice locations
- 11134 Luschek Dr, Blue Ash, OH 45241-2434 · (513) 827-9273
- 1 Elizabeth Pl, Dayton, OH 45417-3445 · (937) 203-2469
- 2611 Wayne Ave, Dayton, OH 45420-1833 · (937) 256-7801
- 313 Chillicothe Ave, Hillsboro, OH 45133-7378 · (937) 393-9720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 35050063 (OH) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
3 other providers at this address
About NPI 1033624812
Oxyclean Ambulatory Opiate Detox Centers LLC's National Provider Identifier is 1033624812, issued on Dec 3, 2017. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Waynesville, OH. The record was last updated on Mar 17, 2018.