Individual provider · Type 1 NPI

Mary Prebonick, CDCA

Substance Abuse Rehabilitation Facility · Warren, OH

NPI number 1083201149 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 324500000X175174 (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 1083201149

Mary Prebonick, CDCA's National Provider Identifier is 1083201149, issued on Dec 23, 2020. 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 23, 2020.