Individual provider · Type 1 NPI

Ariel Fetchko, CDCA

Substance Abuse Rehabilitation Facility · Warren, OH

NPI number 1043970635 Active

Practice location

2737 Youngstown Rd SE
Warren, OH 44484-5002

Call (330) 369-8022 Map

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X179319 (OH)

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 1043970635

Ariel Fetchko, CDCA's National Provider Identifier is 1043970635, issued on Dec 22, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Warren, OH. The record was last updated on Dec 22, 2021.